Amanda Rose Brainerd, RD
Individual provider Active NPI Obesity and Weight Management Nutrition Registered Dietitian · De Witt, IA
NPI 1992408702 · NPPES record last updated Mar 22, 2023
Key facts
- NPI
- 1992408702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X
- Practice address
- 1614 15TH Ave
De Witt, IA 52742-1087 - Phone
- (563) 221-1315
- NPI assigned
- Mar 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | |||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | Yes |
Addresses
Primary practice location
1614 15TH Ave
De Witt, IA 52742-1087
Mailing address
12605 Ventura Blvd # 1024
Studio City, CA 91604-2415
Other providers in De Witt, IA
- Leanna Bender
- Mark Allen Benson
- Andrea Beuthien
- Melissa J Blank
- Sarah J Blinkinsop
- Building Momentum, LLC
- Michaela Burandt
- Traci Renea Butler
- Ashley Butt
- Jessica Butt
All providers in De Witt, IA · Obesity and Weight Management Nutrition Registered Dietitian in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 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.