Organization Active NPI

Nutrition by Amanda PLLC

  • Registered Dietitian
  • Great Neck, NY
National Provider Identifier
1902169840
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
006905 Issued in NY
Legal business name
NUTRITION BY AMANDA PLLC
Practice address
115 Arrandale Ave
Great Neck, NY 11024-1840
Phone
(516) 655-4125
NPI assigned
Jun 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Miss Amanda Sachmechi, M.S., R.D., C.D.NNPI 1215202908
Title
Dietitian
Phone
(516) 655-4125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 006905 NY Primary

Addresses

Primary practice location

115 Arrandale Ave
Great Neck, NY 11024-1840

Mailing address

115 Arrandale Ave
Great Neck, NY 11024-1840
Phone (516) 655-4125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140723000043 NY Part B Supplier - Clinic/Group Practice 5698991990 Receives reassigned benefits from 1 practitioner
Practice locations: New Hyde Park, NY

National Provider Directory

National Provider Directory

Locations

199 Jericho Tpke
Fl 4
Floral Park, NY 11001
Phone (516) 655-4125

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1902169840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ARRANDALE AVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241840",
            "telephone_number": "516-655-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ARRANDALE AVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241840",
            "telephone_number": "516-655-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION BY AMANDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "SACHMECHI",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "516-655-4125",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.S., R.D., C.D.N"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "006905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.