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NPI 1356063655 · live from the CMS NPI Registry

Sarah Michelle Amidon, RDN

Dietitian, Registered in Indianapolis, IN. National Provider Identifier 1356063655, active.

NPI record

NPI1356063655 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location4910 Broadway St, Indianapolis, IN 46205
Practice phone214-686-1570
EnumeratedSeptember 13, 2022
Last updatedSeptember 13, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X— (IN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.