Active NPI
Amanda L Nines, LDN
- Registered Dietitian
- Limerick, PA
National Provider Identifier
1962758987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN000136
- Practice address
- 403 West Ridge Pike
Limerick, PA 19468 - Phone
- (610) 454-7332
- NPI assigned
- Jul 27, 2012
- 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 | DN000136 | PA | Primary |
Addresses
Primary practice location
403 West Ridge Pike
Limerick, PA 19468
Mailing address
68 Bradford Dr
Schwenksville, PA 19473-2608
Phone (610) 265-2648
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 |
|---|---|---|---|
| DN000136 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1962758987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 BRADFORD DR",
"city": "SCHWENKSVILLE",
"state": "PA",
"postal_code": "194732608",
"telephone_number": "610-265-2648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 WEST RIDGE PIKE",
"city": "LIMERICK",
"state": "PA",
"postal_code": "19468",
"telephone_number": "610-454-7332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NINES",
"first_name": "AMANDA",
"middle_name": "L",
"credential": "LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-27",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN000136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Limerick, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.