AMANDA PETERSON (NPI# 1528328275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528328275 |
| Entity Type | Individual |
| Full Name | AMANDA PETERSON |
| Other Name | AMANDA BENSON |
| Credential | RD |
| Practice Address |
25 Courtenay Drive, Suite 7100a Msc 290 Medical University of South Carolina Charleston SC 29425 |
| Practice Telephone | 8438764867 |
| Practice Fax Number | 6105683139 |
| Mailing Telephone | 8438764867 |
| Mailing Fax Number | 4843347026 |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2015-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1219 | SC | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629559992 | Amanda Ann Peterson | Dietitian, Registered | 6405 France Ave S Ste 480, Edina, MN 55435-2172 | 2018-08-24 |
| 1891230710 | Amanda Kay Peterson | Chiropractor | 421 Front St S, Barnesville, MN 56514-3656 | 2017-01-01 |
| 1528420486 | Amanda Peterson | Counselor | 9580 W Reno Ave, Unit 111, Las Vegas, NV 89148-1710 | 2016-03-22 |
| 1427467828 | Amanda Jean Peterson | Physical Therapist | 1045 Broadway Park Ste 107, Homewood, AL 35209-6256 | 2014-08-11 |
| 1922605641 | Amanda Peterson | Physical Therapist | 140 S Main St, Saint Albans, VT 05478-1895 | 2020-10-06 |
| 1245851575 | Amanda Lynn Peterson | Pharmacist | 2001 Court Ave, Chariton, IA 50049-1955 | 2020-04-28 |
| 1396371100 | Amanda Mae Peterson | Advanced Practice Midwife | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2020-03-13 |
| 1982235354 | Amanda Peterson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-02-04 |
| 1659939320 | Amanda Lee Peterson | Behavior Technician | 245 1st St, Cambridge, MA 02142-1200 | 2019-05-29 |
| 1972069730 | Amanda L Peterson | Speech-Language Pathologist | 200 E Court St Ste 708, Kankakee, IL 60901-3845 | 2019-02-18 |
| Street Address |
25 COURTENAY DRIVE, SUITE 7100A MSC 290 MEDICAL UNIVERSITY OF SOUTH CAROLINA |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| 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 |
|---|---|---|---|---|
| 1851906523 | Emily Rodriguez | Dietitian, Registered | 800 Pennsylvania Ave # A, Charleston, WV 25302-3351 | 2020-09-10 |
| 1508476516 | Anna Marie Berner | Dietitian, Registered | 3225 Hatchet Bay Dr Apt 6102, Charleston, SC 29414-5193 | 2020-08-04 |
| 1568081024 | Lowcountry Street Grocery | Dietitian, Registered | 1630 Meeting Street Rd, Charleston, SC 29405-9436 | 2020-04-14 |
| 1649810953 | Elise Marcela Rodriguez | Dietitian, Registered | 165 Ashley Ave Ste 603e, Charleston, SC 29425-8905 | 2020-01-14 |
| 1720560311 | Marie J Seeger | Dietitian, Registered | 1546 Gardenia Rd, Charleston, SC 29407-5212 | 2018-08-30 |
| 1437665536 | Heather Dawn Whittington | Dietitian, Registered | 600 Tracy Way Ste 2, Charleston, WV 25311-1262 | 2017-12-27 |
| 1750896890 | Kelly Mckenzie | Dietitian, Registered | 1 S Park Cir Ste 101, Charleston, SC 29407-4625 | 2017-12-12 |
| 1720501166 | Kayla Nicole Fitzgerald | Dietitian, Registered | 1 Carriage Ln Ste 101, Charleston, SC 29407-6060 | 2017-07-18 |
| 1720538309 | Emma Mary Falconer | Dietitian, Registered | 10 Bee St Apt C, Charleston, SC 29403-5854 | 2016-10-07 |
| 1306395652 | Mia Syn | Dietitian, Registered | 124 Wentworth St, Apartment 4a, Charleston, SC 29401-1762 | 2016-09-28 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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| 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.