Active NPI
Amanda Hoelzle, RD
- Registered Dietitian
- Rochester Hills, MI
National Provider Identifier
1881236230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86151545
- Practice address
- 645 Barclay Cir
Rochester Hills, MI 48307-5804 - Phone
- (248) 844-1010
- NPI assigned
- Oct 16, 2019
- Last updated
- Oct 16, 2019
- 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 | 86151545 | MI | Primary |
Addresses
Primary practice location
645 Barclay Cir
Rochester Hills, MI 48307-5804
Mailing address
21050 E River Rd
Grosse Ile, MI 48138-1165
Phone (734) 752-8022
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 |
|---|---|---|---|
| 86151545 | MI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1881236230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21050 E RIVER RD",
"city": "GROSSE ILE",
"state": "MI",
"postal_code": "481381165",
"telephone_number": "734-752-8022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 BARCLAY CIR",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483075804",
"telephone_number": "248-844-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOELZLE",
"first_name": "AMANDA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-16",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "86151545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.