Amber Rose Fentress, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD005126 Issued in GA

Practice address

1465 Laney Walker Blvd # 1040
Augusta, GA 30912-0002

Phone

(706) 721-3448

NPI assigned

Nov 9, 2018

Last updated

Nov 9, 2018By the provider in NPPES

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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1720556590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 BROAD ST APT G",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011118",
            "telephone_number": "812-719-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 LANEY WALKER BLVD # 1040",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120002",
            "telephone_number": "706-721-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTRESS",
        "first_name": "AMBER",
        "middle_name": "ROSE",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD005126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela R Feeser, LPC
• Samantha Nicole Feinstein, MD
• Jack A Feldman, MD
• Madeline Felice, DO
• Annalise Fennell
• Colville H. Ferdinand, MD
• Iman Ferdjallah, MD
• Brenda Yvonne Ferguson
• Cathy Jo Ferguson, MA, LAPC
• Frederick C Ferguson, M.D.

• Registered Dietitian in Augusta, GA
• Providers in Augusta, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.