Organization Active NPI

Happy Valley Nutrition PC

  • Registered Dietitian
  • Amherst, MA
National Provider Identifier
1780223032
Registry record updated Jan 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
HAPPY VALLEY NUTRITION PC
Practice address
24 S Prospect St Ste 104
Amherst, MA 01002-2293
Phone
(917) 626-1027
NPI assigned
Jan 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amanda K Mittman, RDNNPI 1104283456
Title
Owner
Phone
(917) 626-1027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

24 S Prospect St Ste 104
Amherst, MA 01002-2293

Mailing address

3 Phillips PL
Hadley, MA 01035-3515
Phone (917) 626-1027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220208001346 MA Part B Supplier - Clinic/Group Practice 4486047800 Receives reassigned benefits from 4 practitioners
Practice locations: Amherst, MA

National Provider Directory

National Provider Directory

Locations

417 West St
Ste 101
Amherst, MA 01002
Phone (917) 626-1027

25 Pray St
Ste 101
Amherst, MA 01002
Phone (203) 828-0028

25 Pray St
Amherst, MA 01002
Phone (413) 437-0278

24 S Prospect St
Ste 104
Amherst, MA 01002
Phone (917) 626-1027

239 Loudon Rd
Concord, NH 03301

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578096000000",
    "number": "1780223032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PHILLIPS PL",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010353515",
            "telephone_number": "917-626-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S PROSPECT ST STE 104",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022293",
            "telephone_number": "917-626-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY VALLEY NUTRITION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-04",
        "last_updated": "2020-01-04",
        "certification_date": "2020-01-04",
        "status": "A",
        "authorized_official_last_name": "MITTMAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-626-1027",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.