NPI 1578054516 · live from the CMS NPI Registry
Amanda Kay Boyer, MS, RDN, CD
Dietitian, Registered in Bloomington, IN. National Provider Identifier 1578054516, active.
NPI record
| NPI | 1578054516 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1136 W 17th St Ste B, Bloomington, IN 47404 |
| Practice phone | 765-541-2165 |
| Mailing address | 7390 S Strain Ridge Road, Po Box #140, Smithville, IN 47458 |
| Enumerated | May 25, 2018 |
| Last updated | May 25, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 86026809 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.