NPI 1225894603 · live from the CMS NPI Registry
Amanda Jo Brown, RD
Dietitian, Registered in Indianapolis, IN. National Provider Identifier 1225894603, active.
NPI record
| NPI | 1225894603 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1481 W 10th St, Indianapolis, IN 46202 |
| Practice phone | 317-554-0000 |
| Mailing address | 434 Spring Dr, Greenwood, IN 46143 |
| Enumerated | February 23, 2024 |
| Last updated | February 23, 2024 |
| Sole proprietor | No |
| Other names | Amanda Barley |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 37002548A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.