AMANDA MALY (NPI# 1285983346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285983346 |
| Entity Type | Individual |
| Full Name | AMANDA MALY |
| Credential | RD |
| Practice Address |
2607 N Grandview Blvd Suite 150 Waukesha WI 53188-1686 |
| Practice Telephone | 2625228640 |
| Mailing Telephone | 2625228640 |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2506-29 | WI | Dietary & Nutritional Service Providers |
| Street Address |
2607 N GRANDVIEW BLVD SUITE 150 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-1686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326031964 | Bradley Theodore John Straka | Dermatology | 2607 N Grandview Blvd, Ste 125, Waukesha, WI 53188-1686 | 2005-08-30 |
| 1508409806 | Kendra Bittner | Counselor | 2607 N Grandview Blvd, Waukesha, WI 53188-1686 | 2019-10-21 |
| 1790216554 | Highlander Dermatology LLC | Clinic/Center | 2607 N Grandview Blvd, Ste 125, Waukesha, WI 53188-1686 | 2017-03-23 |
| 1134650302 | Michael Richard Gissibl | Counselor | 2607 N Grandview Blvd, Suite 110, Waukesha, WI 53188-1686 | 2017-03-21 |
| 1174975411 | Midwest Natural Healing | Chiropractor | 2607 N Grandview Blvd, Waukesha, WI 53188-1686 | 2016-07-11 |
| 1245680081 | Debra Sarnowski | Counselor | 2607 N Grandview Blvd, Suite 110, Waukesha, WI 53188-1686 | 2016-06-13 |
| 1750741013 | Nicole Flannery | Counselor | 2607 N Grandview Blvd, #110, Waukesha, WI 53188-1686 | 2016-03-01 |
| 1902208283 | Amy Hoffman | Nurse Practitioner | 2607 N Grandview Blvd, Suite 150, Waukesha, WI 53188-1686 | 2014-09-18 |
| 1386051472 | Jessica Niedermayer | Counselor | 2607 N Grandview Blvd, Suite 108, Waukesha, WI 53188-1686 | 2014-07-21 |
| 1043633159 | Gary Swan | Counselor | 2607 N Grandview Blvd, Suite 104, Waukesha, WI 53188-1686 | 2014-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076345 | Katherine V Peterson | Dietitian, Registered | 302 W North St Apt 26, Waukesha, WI 53188-5142 | 2019-07-26 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1104450287 | Amanda Rose Rosenmerkel | Dietitian, Registered | 725 American Ave, Waukesha, WI 53188-5031 | 2020-02-27 |
| 1881130839 | Rachel Eckel | Dietitian, Registered | 725 American Ave, Waukesha, WI 53188-5031 | 2017-01-15 |
| 1780923052 | Tatiana Castellino | Dietitian, Registered | 721 American Avenue, Suite 205, Waukesha, WI 53188 | 2013-02-06 |
| 1770847238 | Mary Jo Michels | Dietitian, Registered | 615 W Moreland Blvd, Waukesha, WI 53188-2462 | 2012-06-29 |
| 1427374420 | Jill Sorenson | Dietitian, Registered | 615 W Moreland Blvd, Waukesha, WI 53188-2462 | 2010-04-15 |
| 1144347758 | April Jill Barron | Dietitian, Registered | 1111 Delafield St, Suite #212, Waukesha, WI 53188-3417 | 2007-03-26 |
| 1891813341 | Mary Bridget Belter | Dietitian, Registered | 725 American Ave, Waukesha, WI 53188-5031 | 2007-03-26 |
| 1801951991 | Carole P Bender | Dietitian, Registered | 615 W Moreland Blvd, Waukesha, WI 53188-2462 | 2006-12-27 |
| Find all providers in WAUKESHA | ||||
Please comment or provide details below to improve the information on AMANDA MALY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.