MRS. AMANDA RAE MOTL (NPI# 1982073557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982073557 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA RAE MOTL |
| Credential | RD, CD, CDE |
| Practice Address |
36500 Aurora Dr Summit WI 53066-4899 |
| Practice Telephone | 2624342247 |
| Mailing Telephone | 2624342247 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1944-29 | WI | Dietary & Nutritional Service Providers |
| Street Address |
36500 AURORA DR |
| City | SUMMIT |
| State | WI |
| Zip Code | 53066-4899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346242518 | Janice Mary Beaton | Audiologist | 36500 Aurora Dr, Summit, WI 53066-4899 | 2005-06-01 |
| 1821697863 | Mackenzie L Sinnen | Audiologist | 36500 Aurora Dr, Summit, WI 53066-4899 | 2020-10-21 |
| 1811515661 | Kira Greenwood | Dietitian, Registered | 36500 Aurora Dr, Summit, WI 53066-4899 | 2020-07-08 |
| 1588281802 | Makenzie A Kirk | Physician Assistant | 36500 Aurora Dr, Summit, WI 53066-4899 | 2020-07-02 |
| 1619598786 | Olivia Joi Carlton | Physical Medicine & Rehabilitation | 36500 Aurora Dr, Summit, WI 53066-4899 | 2020-04-30 |
| 1477186633 | Aurora Advanced Healthcare Inc | Durable Medical Equipment & Medical Supplies | 36500 Aurora Dr, Summit, WI 53066-4899 | 2020-02-17 |
| 1285279844 | Elizabeth Daniels | Physician Assistant | 36500 Aurora Dr, Summit, WI 53066-4899 | 2019-11-07 |
| 1265076087 | Jessica M Zuerner | Nurse Practitioner | 36500 Aurora Dr, Summit, WI 53066-4899 | 2019-11-05 |
| 1043860570 | Megan E Shea | Physician Assistant | 36500 Aurora Dr, Summit, WI 53066-4899 | 2019-09-17 |
| 1740835073 | Kristal D Timm | Nurse Practitioner | 36500 Aurora Dr, Summit, WI 53066-4899 | 2019-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109082 | Sharon Legwinski | Occupational Therapist | 2195 N. Summit Way, Oconomowoc, WI 53066 | 2019-05-17 |
| 1033676390 | Paladina Health, LLC | Family Medicine | Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 | 2019-02-22 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1649748203 | Ginny Dacquisto | Dietitian, Registered | 1134 Lily Rd, Oconomowoc, WI 53066 | 2018-11-12 |
| 1174000764 | Aimee M Metzger | Social Worker | 405 E Forest St Ste 113, Oconomowoc, WI 53066 | 2018-07-26 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1962890475 | Monica Rodriguez | Counselor | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | 2015-01-06 |
| 1518384643 | Kimberley Bevan | Pharmacist | 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 | 2014-03-26 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1669705240 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 | 2009-09-14 |
| Find all providers in zip 53066 | ||||
| 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 |
|---|---|---|---|---|
| 1457889586 | Lindsay Dolashewich | Dietitian, Registered | 545 Morris Ave # 212, Summit, NJ 07901-1325 | 2017-06-02 |
| 1295166056 | Thomas Chadwick Cochran | Dietitian, Registered | 1011 Meadville Street, Summit, MS 39666 | 2013-12-04 |
| 1811515661 | Kira Greenwood | Dietitian, Registered | 36500 Aurora Dr, Summit, WI 53066-4899 | 2020-07-08 |
| 1053932509 | Gale Reed | Dietitian, Registered | 11 Overlook Rd, Summit, NJ 07901-3577 | 2020-05-06 |
| 1700397866 | Absolute Nutrition Counseling LLC | Dietitian, Registered | 545 Morris Ave # 212, Summit, NJ 07901-1325 | 2017-10-17 |
| 1497207146 | Melanie Novello Smith | Dietitian, Registered | 33 Overlook Rd, Suite L03, Summit, NJ 07901-3570 | 2016-10-28 |
| 1851751556 | Sarah Farmer Curran | Dietitian, Registered | 11 Overlook Rd, Mac II Building Suite 200, Summit, NJ 07901-3577 | 2016-02-24 |
| 1942670260 | Cynthia Hesse | Dietitian, Registered | 36500 Aurora Dr, Summit, WI 53066-4899 | 2015-09-29 |
| 1235487075 | Lisa W Celona | Dietitian, Registered | 33 Overlook Rd, Suite L06, Summit, NJ 07901-3570 | 2012-08-28 |
| 1093002875 | Karen Diaz | Dietitian, Registered | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2011-06-30 |
| Find all providers in SUMMIT | ||||
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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.