Individual provider Active NPI

Amanda Jo Garman, RD/LD

  • Registered Dietitian
  • Sandusky, OH
National Provider Identifier
1902229941
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.7395 Issued in OH
Practice address
1221 Hayes Ave Ste F
Sandusky, OH 44870
Phone
(419) 557-6996
NPI assigned
Jan 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD.7395 OH Primary

Addresses

Primary practice location

1221 Hayes Ave Ste F
Sandusky, OH 44870

Mailing address

1221 Hayes Ave Ste F
Sandusky, OH 44870-3345
Phone (419) 557-6996

Other practice location 1

500 W Court St
Kankakee, IL 60901-3661
Phone (815) 937-2458

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180622000579 OH Practitioner - Registered Dietitian Or Nutrition Professional 5496986861

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1111 Hayes Ave
Sandusky, OH 44870-3323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Firelands Regional Medical Center Current Accepting new patients
Firelands Regional Medical Center Past Accepting new patients

Locations

292 Benedict Ave
Norwalk, OH 44857
Phone (419) 663-3737

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

1221 Hayes Ave
Ste F
Sandusky, OH 44870
Phone (419) 557-6550

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1902229941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 HAYES AVE STE F",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703345",
            "telephone_number": "419-557-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 HAYES AVE STE F",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "44870",
            "telephone_number": "419-557-6996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Court St",
            "address_purpose": "LOCATION",
            "city": "Kankakee",
            "state": "IL",
            "postal_code": "609013661",
            "country_code": "US",
            "telephone_number": "815-937-2458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARMAN",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "credential": "RD/LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.7395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.