Individual provider Active NPI

Amanda Nedd, RD, CD

  • Registered Dietitian
  • Port Charlotte, FL
National Provider Identifier
1699293241
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2571-29 Issued in WI
Practice address
2525 Harbor Blvd Ste 105
Port Charlotte, FL 33952-5338
Phone
(941) 625-4270
NPI assigned
Sep 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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 2571-29 WI Primary

Addresses

Primary practice location

2525 Harbor Blvd Ste 105
Port Charlotte, FL 33952-5338

Mailing address

2525 Harbor Blvd Ste 105
Port Charlotte, FL 33952-5338
Phone (941) 625-4270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108003959 FL Practitioner - Registered Dietitian Or Nutrition Professional 8628344652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Physician Network, LLCGroup PAC ID 1153476544, 49 clinicians

Practice addresses (Care Compare)

2525 Harbor Blvd
Suite 105
Port Charlotte, FL 33952-5338
Phone (941) 625-4270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2571-29WIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Physician Network, LLC CurrentSince Dec 3, 2024 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
Aspirus Medical Group, Inc. Past Accepting new patients

Locations

7005 Cortez Rd W
Bradenton, FL 34210
Phone (941) 465-4800

12140 Carissa Commerce Ct
Ste 103
Fort Myers, FL 33966
Phone (239) 895-0900

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

2525 Harbor Blvd
Ste 105
Pt Charlotte, FL 33952
Phone (850) 585-3145

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: amanda.nedd@hca4.eclinicaldirectplus.com

Organizations & group practices 3

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": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1699293241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD STE 105",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525338",
            "telephone_number": "941-625-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD STE 105",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525338",
            "telephone_number": "941-625-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDD",
        "first_name": "AMANDA",
        "credential": "RD, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "2571-29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.