Wellformed AI

NPI 1851806467 · live from the CMS NPI Registry

Amanda Balk, RD, LD, PA-C

Physician Assistant in Saint Louis, MO. National Provider Identifier 1851806467, active.

NPI record

NPI1851806467 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location5000 Cedar Plaza Pkwy Ste 300, Saint Louis, MO 63128
Practice phone636-282-0380
EnumeratedDecember 5, 2017
Last updatedFebruary 11, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered133V00000X—
Physician Assistant primary363A00000X—

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