Individual provider Active NPI

Amy Glueck, RD, CSO

  • Registered Dietitian
  • Saint Louis, MO
National Provider Identifier
1649639212
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2012026835 Issued in MO
Practice address
1 Barnes Jewish Hospital PLZ
Mailstop 90-17-334
Saint Louis, MO 63110-1003
Phone
(314) 454-7619
Fax
(314) 362-7769
NPI assigned
Feb 11, 2016
Last updated
Feb 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2012026835 MO Primary

Addresses

Primary practice location

1 Barnes Jewish Hospital PLZ
Mailstop 90-17-334
Saint Louis, MO 63110-1003

Mailing address

1 Barnes Jewish Hospital PLZ
Mailstop 90-17-334
Saint Louis, MO 63110-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2012026835MOMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1649639212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BARNES JEWISH HOSPITAL PLZ",
            "address_2": "MAILSTOP 90-17-334",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNES JEWISH HOSPITAL PLZ",
            "address_2": "MAILSTOP 90-17-334",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101003",
            "telephone_number": "314-454-7619",
            "fax_number": "314-362-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUECK",
        "first_name": "AMY",
        "credential": "RD, CSO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2012026835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.