Active NPI
Amanda Nicole Corbin, RD
- Registered Dietitian
- Madison, IN
National Provider Identifier
1861661811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1003079
- Practice address
- One Kings Daughters Drive
Madison, IN 47250-3300 - Phone
- (812) 265-0562
- Fax
- (812) 265-0561
- NPI assigned
- Feb 25, 2008
- 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 | 1003079 | Primary |
Addresses
Primary practice location
One Kings Daughters Drive
Madison, IN 47250-3300
Mailing address
One Kings Daughters Drive
Madison, IN 47250-3300
Phone (812) 265-0562
Other names 1
- Ms. Amanda Nicole Matthews
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1861661811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE KINGS DAUGHTERS DRIVE",
"city": "MADISON",
"state": "IN",
"postal_code": "472503300",
"telephone_number": "812-265-0562",
"fax_number": "812-265-0561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE KINGS DAUGHTERS DRIVE",
"city": "MADISON",
"state": "IN",
"postal_code": "472503300",
"telephone_number": "812-265-0562",
"fax_number": "812-265-0561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBIN",
"first_name": "AMANDA",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-25",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "1003079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "MATTHEWS",
"middle_name": "NICOLE",
"prefix": "MS.",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Madison, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.