Amy Marie Pinkham, MS RDN LDN CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN0007288 Issued in PA

Practice address

157 Roosevelt Ave
Selinsgrove, PA 17870-7961

Phone

(570) 884-3726

Fax

(570) 884-3728

NPI assigned

Jan 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1659023208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 ROOSEVELT AVE",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178707961",
            "telephone_number": "570-884-3726",
            "fax_number": "570-884-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKHAM",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "MS RDN LDN CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN0007288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania Department of Human Services
• Pennsylvania Institute of Neurology LLC
• Victoria Elizabeth Pepenelli, DPT
• Rebecca Anne Phillips
• Phoenix Rehabilitation and Health Services, Inc.
• Steven Plouffe, DMD
• Poonam Srivastava MD PC
• Hean Poy
• Thomas Gerard Pronek, D.C.
• Allison Rague

• Registered Dietitian in Selinsgrove, PA
• Providers in Selinsgrove, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.