NPI 1245701796 · live from the CMS NPI Registry
Amanda Michelle Connors, MS, RD, CDN, CNSC
Dietitian, Registered in Summerville, SC. National Provider Identifier 1245701796, active.
NPI record
| NPI | 1245701796 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 505 Bright Leaf Loop, Summerville, SC 29486 |
| Practice phone | 845-661-8993 |
| Enumerated | December 10, 2018 |
| Last updated | November 13, 2024 |
| Sole proprietor | Yes |
| Other names | Amanda Smith |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 86108396 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.