Amberrdrx
Organization Active NPI Registered Dietitian · Avon, IN
NPI 1912747155 · NPPES record last updated Jan 10, 2026
Key facts
- NPI
- 1912747155
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- Legal business name
- AMBERRDRX
- Practice address
- 6319 E US Highway 36 Ste 105
Avon, IN 46123-6209 - Phone
- (317) 561-0183
- Fax
- (317) 342-9449
- NPI assigned
- May 27, 2024
- Organization subpart
- No
Authorized official
- Name
- Amber Leigh Ray, RDN, IFNCP
- Title
- Owner
- Phone
- (317) 561-0183
Practitioners 1
-
Amber Leigh Ray, RDN, IFNCP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240808003391 | IN | Part B Supplier - Clinic/Group Practice | 7416494349 |
Receives reassigned benefits from 1 practitioner Practice locations: Avon, IN |
National Provider Directory
Locations
6319 E US Highway 36
Ste 105
Avon, IN 46123
Phone (317) 561-0183
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | Yes |
Addresses
Primary practice location
6319 E US Highway 36 Ste 105
Avon, IN 46123-6209
Mailing address
6319 E US Highway 36 Ste 105
Avon, IN 46123-6209
Phone (317) 561-0183
Other names
- Amber RDRx, LLC
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.