Individual provider Active NPI

Amanda Marie Bates, RD

  • Registered Dietitian
  • Greenville, SC
National Provider Identifier
1790659258
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2616 Issued in SC
Practice address
1004 Grove Rd
Greenville, SC 29605-4602
Phone
(864) 242-0802
Fax
(864) 242-0076
NPI assigned
Sep 30, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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

State licenses

LicenseStateTypeSpecialty
2616SCMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients
Dialysis Newco LLC PastSince Oct 5, 2025 Accepting new patients
Strategic Nutrition Dietitian, Registered Past Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients
Everfit Inc Dietitian, Registered Past Accepting new patients
Usrc Beretania, LLC PastSince Oct 5, 2025 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2616 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

1004 Grove Rd
Greenville, SC 29605-4602

Mailing address

1004 Grove Rd
Greenville, SC 29605-4602

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2025.

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1790659258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054602",
            "telephone_number": "864-242-0802",
            "fax_number": "864-242-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "2616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.