Individual provider Active NPI

Amanda Terillo, RD

  • Registered Dietitian
  • Harrisonburg, VA
National Provider Identifier
1669879599
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1044801 Issued in MD
Practice address
1755 S High St
Harrisonburg, VA 22801-1553
Phone
(540) 282-6035
NPI assigned
Nov 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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 1044801 MD Primary

Addresses

Primary practice location

1755 S High St
Harrisonburg, VA 22801-1553

Mailing address

4168 Gilbert Station Rd
Barboursville, VA 22923-1900
Phone (540) 282-6035

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1044801MDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Laza Internal Medicine PLC CurrentSince Jul 2, 2024 Accepting new patients

Locations

600 Peter Jefferson Pkwy
Ste 200
Charlottesvle, VA 22911
Phone (434) 244-0934

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1669879599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4168 GILBERT STATION RD",
            "city": "BARBOURSVILLE",
            "state": "VA",
            "postal_code": "229231900",
            "telephone_number": "540-282-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 S HIGH ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228011553",
            "telephone_number": "540-282-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERILLO",
        "first_name": "AMANDA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "1044801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.