Active NPI
Amanda Constant, R.D.
- Registered Dietitian
- Greenwich, CT
National Provider Identifier
1770987117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86062419
- Practice address
- 55 Holly Hill LN
Greenwich, CT 06830-6074 - Phone
- (203) 863-3668
- NPI assigned
- Oct 14, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 86062419 | CT | Primary |
Addresses
Primary practice location
55 Holly Hill LN
Greenwich, CT 06830-6074
Mailing address
55 Holly Hill LN
Greenwich, CT 06830-6074
Phone (203) 863-3668
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86062419 | CT | MD | Registered Dietitian |
| 1274 | CT | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413244800000",
"number": "1770987117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 HOLLY HILL LN",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068306074",
"telephone_number": "203-863-3668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 HOLLY HILL LN",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068306074",
"telephone_number": "203-863-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONSTANT",
"first_name": "AMANDA",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-14",
"last_updated": "2014-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "86062419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, CT
- Connecticut CVS Pharmacy LLC (CVS Pharmacy #06702)
- Connecticut CVS Pharmacy, L.L.C. (CVS Pharmacy # 01280)
- Connecticut Headache and Migraine Relief Center LLC
- Connecticut Spine Institute LLC
- Richard Charles Connors, M.D.
- William James Conte, M.D.
- Contemporary Care Counseling
- Contemporary Care LLC
- Contemporary TMS of Eli
- Contemporary TMS of Greater Boston
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.