Amy Cornelius
Individual provider Active NPI Registered Dietitian · Saltillo, MS
NPI 1922791920 · NPPES record last updated May 26, 2023
Key facts
- NPI
- 1922791920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- D0582 (MS)
- Practice address
- 379 Mobile Street
Saltillo, MS 38866 - Phone
- (662) 869-3700
- NPI assigned
- May 26, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0582 | MS | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Care LLC | Current |
Accepting new patients | |
| Nutrition Care LLC | Dietitian, Registered | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D0582 | MS | Yes |
Addresses
Primary practice location
379 Mobile Street
Saltillo, MS 38866
Mailing address
PO Box 79
Saltillo, MS 38866-0079
Phone (662) 869-3700
Other providers in Saltillo, MS
- Linda Chidester
- Chiropractic Center of Saltillo
- Sarah Rebekah Christian
- Steven B Coggins X
- Core Rehabilitation, LLC
- Creekside Manor Assisted Living, Inc.
- Melissa Hardin Crockett
- Carla Davis
- Hunter Dawson
- Dogwood Family Pharmacy Inc
All providers in Saltillo, MS · Registered Dietitian in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.