Active NPI
Amanda Corrine Maucere, MS RD LD/N
- Registered Dietitian
- Odessa, FL
National Provider Identifier
1881935559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND 5431
- Practice address
- 13715 Rangeland Blvd
Odessa, FL 33556-4648 - Phone
- (727) 534-9742
- NPI assigned
- Mar 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | ND 5431 | FL | Primary |
Addresses
Primary practice location
13715 Rangeland Blvd
Odessa, FL 33556-4648
Mailing address
13715 Rangeland Blvd
Odessa, FL 33556-4648
Phone (727) 534-9742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 17, 2016 through Aug 17, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 5431 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1881935559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13715 RANGELAND BLVD",
"city": "ODESSA",
"state": "FL",
"postal_code": "335564648",
"telephone_number": "727-534-9742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13715 RANGELAND BLVD",
"city": "ODESSA",
"state": "FL",
"postal_code": "335564648",
"telephone_number": "727-534-9742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUCERE",
"first_name": "AMANDA",
"middle_name": "CORRINE",
"credential": "MS RD LD/N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-06",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 5431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.