NPIMap

Organization Active NPI

Amanda Claxton Nutrition LLC

  • Registered Dietitian
  • Griggsville, IL
National Provider Identifier
1962278812
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
AMANDA CLAXTON NUTRITION LLC
Practice address
415 S Corey St
Griggsville, IL 62340-1013
Phone
(217) 653-7194
NPI assigned
Dec 1, 2023
Last updated
Dec 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Amanda ClaxtonNPI 1720251879
Title
Ceo/Rd
Phone
(217) 653-7194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

415 S Corey St
Griggsville, IL 62340-1013

Mailing address

415 S Corey St
Griggsville, IL 62340-1013
Phone (217) 653-7194

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1962278812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S COREY ST",
            "city": "GRIGGSVILLE",
            "state": "IL",
            "postal_code": "623401013",
            "telephone_number": "217-653-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S COREY ST",
            "city": "GRIGGSVILLE",
            "state": "IL",
            "postal_code": "623401013",
            "telephone_number": "217-653-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA CLAXTON NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "CLAXTON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CEO/RD",
        "authorized_official_telephone_number": "217-653-7194"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griggsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.

Verify at the official NPI Registry.