Individual provider Active NPI

Amanda Hendel, RD, LDN, CNSC

  • Registered Dietitian
  • Hatboro, PA
National Provider Identifier
1790256196
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN006594 Issued in PA
Practice address
417 Windover Rd
Hatboro, PA 19040-3937
Phone
(215) 694-7716
NPI assigned
Dec 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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 DN006594 PA Primary

Addresses

Primary practice location

417 Windover Rd
Hatboro, PA 19040-3937

Mailing address

636 Jamestown St
Philadelphia, PA 19128-1705
Phone (215) 694-7716

Other names 1

  • Amanda Brems Former name

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

LicenseStateTypeSpecialty
DN006594PAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1790256196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 JAMESTOWN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281705",
            "telephone_number": "215-694-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 WINDOVER RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190403937",
            "telephone_number": "215-694-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDEL",
        "first_name": "AMANDA",
        "credential": "RD, LDN, CNSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BREMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hatboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.