Individual provider Active NPI

Amber Bowitz, MS, RDN, LDN

  • Registered Dietitian
  • East Norriton, PA
National Provider Identifier
1780154658
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN006662 Issued in PA
Practice address
3006 Green Ridge Dr
East Norriton, PA 19403-3834
Phone
(703) 872-9947
NPI assigned
Dec 4, 2018
Sex
Female
Sole proprietor
No

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.

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN006662PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Amber Donnelly, LLC Dietitian, Registered CurrentSince Dec 6, 2020 Accepting new patients

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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 DN006662 PA Primary

Addresses

Primary practice location

3006 Green Ridge Dr
East Norriton, PA 19403-3834

Mailing address

3006 Green Ridge Dr
East Norriton, PA 19403-3834
Phone (703) 872-9947

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1780154658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 GREEN RIDGE DR",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194033834",
            "telephone_number": "703-872-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 GREEN RIDGE DR",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194033834",
            "telephone_number": "703-872-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWITZ",
        "first_name": "AMBER",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.