Amanda Griffin

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L004581 Issued in NC

Practice address

4913 Bridges St Ext # B
Morehead City, NC 28557-8978

Phone

(252) 808-5623

NPI assigned

Sep 28, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crystal Coast Wellness and Performance CenterGroup PAC ID 8527489913, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Crystal Coast Wellness and Performance Center

  • Registered Dietitian
  • Morehead City, NC
  • NPI 1679104293

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1821877853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 ADAMS LN",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278899581",
            "telephone_number": "252-725-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 BRIDGES ST EXT # B",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285578978",
            "telephone_number": "252-808-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Cribb Gray, AA
• Greater Vision Behavioral Health
• Megan Renee Green, FNP-BC, AGACNP-BC
• Laura Joelle Gregory, COTA/L
• Evelyn Solis Greving
• James B Griffin, ED.D.
• William Archie Grimsley Jr., DO
• Earl George Gross, M.D.
• Mark A. Gruber, CRNA
• Guardian Angels Alternative Care, Inc.

• Registered Dietitian in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.