Active NPI
Amanda Ruppel, RD, LDN, AFMC, CHC
- Registered Dietitian
- Springfield, IL
National Provider Identifier
1922747476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.004259
- Practice address
- 320 E Carpenter St
Springfield, IL 62702-5185 - Phone
- (217) 788-3948
- NPI assigned
- Jun 2, 2022
- 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 | 164.004259 | IL | Primary |
Addresses
Primary practice location
320 E Carpenter St
Springfield, IL 62702-5185
Mailing address
PO Box 3428
Springfield, IL 62708-3428
Phone (217) 788-3948
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.004259 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schuyler County Hospital District | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Rushville, IL
- NPI 1013969112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1922747476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3428",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627083428",
"telephone_number": "217-788-3948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 E CARPENTER ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025185",
"telephone_number": "217-788-3948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUPPEL",
"first_name": "AMANDA",
"credential": "RD, LDN, AFMC, CHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-02",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.004259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.