Active NPI
Amanda Sheree Trimmell, RD
- Registered Dietitian
- Laguna Hills, CA
National Provider Identifier
1780945063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1096690
- Practice address
- 24451 Health Center Dr
Laguna Hills, CA 92653-3689 - Phone
- (949) 452-7150
- NPI assigned
- Jun 4, 2012
- 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 | 1096690 | CA | Primary |
Addresses
Primary practice location
24451 Health Center Dr
Laguna Hills, CA 92653-3689
Mailing address
23411 Summerfield Apt 38E
Aliso Viejo, CA 92656-2830
Phone (562) 458-4648
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1096690 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338768000000",
"number": "1780945063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23411 SUMMERFIELD APT 38E",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926562830",
"telephone_number": "562-458-4648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24451 HEALTH CENTER DR",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533689",
"telephone_number": "949-452-7150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIMMELL",
"first_name": "AMANDA",
"middle_name": "SHEREE",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-04",
"last_updated": "2012-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1096690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.