AMANDA PETERSON (NPI# 1588191043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588191043 |
| Entity Type | Individual |
| Full Name | AMANDA PETERSON |
| Credential | MS, RDN, LDN |
| Practice Address |
401 N Main St Kenansville NC 28349-8801 |
| Mailing Address |
Po Box 278 Kenansville NC 28349-0278 |
| Practice Telephone | 9102962747 |
| Mailing Telephone | 9102962747 |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | L005094 | NC | 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 |
| 1528328275 | Amanda Peterson | Dietitian, Registered | 25 Courtenay Drive, Suite 7100a Msc 290, Medical University of South Carolina, Charleston, SC 29425 | 2012-05-29 |
| 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 |
| Street Address |
401 N MAIN ST |
| City | KENANSVILLE |
| State | NC |
| Zip Code | 28349-8801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021475 | Kelly Stone | Social Worker | 401 N Main St, Kenansville, NC 28349-8801 | 2020-07-31 |
| 1891293338 | Rachel Ryland Bradley | Physician Assistant | 401 N Main St, Kenansville, NC 28349-8801 | 2018-01-30 |
| 1639688906 | Brooks Forsythe Schomp | Physician Assistant | 401 N Main St, Kenansville, NC 28349-8801 | 2017-09-29 |
| 1295253185 | Jacklyn Sarah Araica | Physician Assistant | 401 N Main St, Kenansville, NC 28349-8801 | 2017-08-31 |
| 1730527300 | Kelly Linette Ferguson | Hospitalist | 401 N Main St, Kenansville, NC 28349-8801 | 2013-06-05 |
| 1417258708 | Kelley B Spohrer | Nurse Anesthetist, Certified Registered | 401 N Main St, Kenansville, NC 28349-8801 | 2010-11-03 |
| 1073834917 | Dieter Tetatah Wefuan | Internal Medicine | 401 N Main St, Kenansville, NC 28349-8801 | 2010-06-15 |
| 1609190743 | Duplin General Hospital Incorporated | Emergency Medicine | 401 N Main St, Kenansville, NC 28349-0278 | 2010-03-18 |
| 1730347485 | Jonathan Hargett Kornegay | Internal Medicine | 401 N Main St, Vidant Duplin Hospital, Kenansville, NC 28349-8801 | 2008-05-29 |
| 1609961986 | Tammi C. Roos | Anesthesiology | 401 N Main St, Kenansville, NC 28349-8801 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255820494 | Ashley Thigpen Kennedy | Occupational Therapist | 514 South Main Street, Kenansville, NC 28349 | 2018-05-03 |
| 1508387531 | Jeffery None Lowery | Speech-Language Pathologist | Vidant Duplin Rehabillitation, 514 S. Main Street, Kenansville, NC 28349 | 2017-06-29 |
| 1013269786 | Primary Health Choice, Inc. | Counselor | 302 North Main Street. Suite 2, Kenansville, NC 28349 | 2012-10-05 |
| 1104191907 | Duplin County Schools | Local Education Agency (LEA) | 315 N. Main St., Kenansville, NC 28349 | 2012-03-13 |
| 1841579844 | Ashley Barnes Ezzell | Pharmacist | 134 Liberty Square, Suite B, Kenansville, NC 28349 | 2011-08-08 |
| 1265767172 | Goshen Medical Center, Inc. | Clinic/Center | 212 Duplin St, Kenansville, NC 28349 | 2009-10-09 |
| 1497986509 | Duplin General Hospital, Incorporated | Licensed Practical Nurse | 401 North Main, Kenansville, NC 28349 | 2009-08-06 |
| 1679762066 | Mid-state Health Systems, Inc | Community/Behavioral Health | 117 Beasley St, 2nd Floor, Kenansville, NC 28349 | 2007-10-22 |
| 1861697310 | Teresa Ann Holland | Nurse Practitioner | 140 Limestone Rd, Kenansville, NC 28349 | 2007-06-15 |
| 1760521470 | Alpha Omega Health | Case Management | 103 East Hill Street, Suite 3, Kenansville, NC 28349 | 2007-02-06 |
| Find all providers in zip 28349 | ||||
| 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 |
|---|---|---|---|---|
| 1770184947 | Freely Fed | Dietitian, Registered | 1532 Wickerby Ct, Matthews, NC 28105-0322 | 2020-11-04 |
| 1023618774 | Shannon Vasilinda | Dietitian, Registered | 450 Lake Royale, Louisburg, NC 27549-9565 | 2020-10-30 |
| 1154921997 | Lauren Annelise Prigge | Dietitian, Registered | 3636 Castlegate Dr, Raleigh, NC 27616-9551 | 2020-10-30 |
| 1659971406 | Lauren Rubio-serrano | Dietitian, Registered | 21 Mount Vernon Cir, Asheville, NC 28804-2439 | 2020-10-30 |
| 1336749407 | Doretta Wright | Dietitian, Registered | 110 Highgrove Ct, Aberdeen, NC 28315-2149 | 2020-10-28 |
| 1003414756 | Christy Nell Quirk | Dietitian, Registered | 117 Oldham Pl, Chapel Hill, NC 27516-9004 | 2020-10-14 |
| 1801493291 | Fuel Nc Nutrition | Dietitian, Registered | 1107 Capital Blvd, Raleigh, NC 27603-1113 | 2020-10-08 |
| 1033716436 | Katherine Openshaw | Dietitian, Registered | 521 Walnut Creek Dr, Goldsboro, NC 27534-8997 | 2020-10-08 |
| 1184221665 | Jennifer M Ritchie | Dietitian, Registered | 4306 Kimmeridge Rd, Greensboro, NC 27406-9303 | 2020-10-07 |
| 1659978245 | Jaclyn Lee Atwater | Dietitian, Registered | 415 Yucca Ln, Wilmington, NC 28412-1042 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | KENANSVILLE |
| Zip Code | 28349 |
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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.