NPI 1245851369 · live from the CMS NPI Registry
Amanda Jean Esquibel, MS, RD, LD
Dietitian, Registered in Las Cruces, NM. National Provider Identifier 1245851369, active.
NPI record
| NPI | 1245851369 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1155 S Telshor Blvd Ste 301, Las Cruces, NM 88011 |
| Practice phone | 575-649-0073 |
| Mailing address | C/O Bbp Services LLC, 1180 Commerce Dr Unit 13880, Las Cruces, NM 88013 |
| Enumerated | April 29, 2020 |
| Last updated | January 20, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | DT83980 (TX) |
| Dietitian, Registered primary | 133V00000X | LD-1050 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.