Active NPI
Amanda M. Decker, RDN,LDN
- Registered Dietitian
- Bedford, PA
National Provider Identifier
1679043715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN000327
- Practice address
- 9709 Lincoln Hwy
Bedford, PA 15522-3717 - Phone
- (814) 652-3220
- Fax
- (814) 652-3230
- NPI assigned
- Dec 2, 2018
- Last updated
- Dec 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN000327 | PA | Primary |
Addresses
Primary practice location
9709 Lincoln Hwy
Bedford, PA 15522-3717
Mailing address
9709 Lincoln Hwy
Bedford, PA 15522-3717
Phone (814) 652-3220
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN000327 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pittsburgh Care Partnership, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- PACE Provider Organization
- McKeesport, PA
- NPI 1437205952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543708800000",
"number": "1679043715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9709 LINCOLN HWY",
"city": "BEDFORD",
"state": "PA",
"postal_code": "155223717",
"telephone_number": "814-652-3220",
"fax_number": "814-652-3230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9709 LINCOLN HWY",
"city": "BEDFORD",
"state": "PA",
"postal_code": "155223717",
"telephone_number": "814-652-3220",
"fax_number": "814-652-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "AMANDA",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "RDN,LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-02",
"last_updated": "2018-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN000327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, PA
- Lacie Renee Cumo, PT
- Judy A Custer, CRNP
- Remi Dallot, DPT
- Desni L Dantone, PA-C
- Mackenzie Faith Dasher, RN
- Carey Deeters, LCSW
- Page W Delaney, DDS
- Dental Professionals of Pennsylvania, P.C. (Bedford Dental Health Center)
- Megan Ann Diehl
- Donahoe Manor-Bedford PA, LLC (ProMedica Skilled Nursing and Rehabilitation (Bedford))
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.