Active NPI
Amanda Ayers, RD, LDN
- Registered Dietitian
- Lockport, IL
National Provider Identifier
1952873044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.007178
- Practice address
- 16609 Blackfoot Dr
Lockport, IL 60441-1501 - Phone
- (708) 705-4881
- Fax
- (815) 588-4016
- NPI assigned
- Dec 30, 2018
- Last updated
- Dec 30, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 164.007178 | IL | Primary |
Addresses
Primary practice location
16609 Blackfoot Dr
Lockport, IL 60441-1501
Mailing address
16609 Blackfoot Dr
Lockport, IL 60441-1501
Phone (708) 705-4881
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.007178 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC Nutrition Therapy Inc | Dietitian, Registered | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546128000000",
"number": "1952873044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16609 BLACKFOOT DR",
"city": "LOCKPORT",
"state": "IL",
"postal_code": "604411501",
"telephone_number": "708-705-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16609 BLACKFOOT DR",
"city": "LOCKPORT",
"state": "IL",
"postal_code": "604411501",
"telephone_number": "708-705-4881",
"fax_number": "815-588-4016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYERS",
"first_name": "AMANDA",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-30",
"last_updated": "2018-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.007178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lockport, IL
- Daniel Anzelmo, PT, DPT
- Arise Speech Therapy PLLC
- Ascend Performance and Recovery LLC
- Assurance First Assisting LLC
- Athletic & Therapeutic Institute of Naperville, LLC (ATI Physical Therapy)
- Jessica Bain
- John L Bakouris, ATC, CSCS
- Justyna Bancerek-Stengele, MD
- Christopher David Baran, CRNA
- Judith Lynn Barker
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.