Amanda Elliston, LDN, CLC
Nutritionist in Wilbraham, Massachusetts
1417674219- Practice location
- 12 Glenn Dr, Wilbraham, MA 01095-1404
- Phone
- 413-695-2884
- Fax
- —
- Last updated
- February 3, 2026
Amanda Elliston is a Nutritionist based in Wilbraham, MA. Amanda Elliston practices in Wilbraham, MA and has the professional credentials of LDN, CLC. The NPI Number for Amanda Elliston is 1417674219 and holds a License No. 20983 (MA). The current practice location address for Amanda Elliston is 12 Glenn Dr, Wilbraham, MA 01095-1404 and can be reached out via phone at 413-695-2884.
Provider Profile Details
- NPI Number
- 1417674219
- Provider Name
- Amanda Elliston
- Credential
- LDN, CLC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 12 Glenn Dr, Wilbraham, MA 01095-1404
- Phone Number
- 413-695-2884
- Primary Taxonomy
- Nutritionist · 133N00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 21, 2022
- Last Update Date
- February 3, 2026
- Certification Date
- February 3, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Glenn Dr
Wilbraham, MA 01095-1404 - City
- Wilbraham
- State
- Massachusetts
- Zip
- 01095-1404
- Phone Number
- 413-695-2884
Provider Business Mailing Address Details
- Address
- 12 Glenn Dr
Wilbraham, MA 01095-1404 - City
- Wilbraham
- State
- MA
- Zip
- 01095-1404
- Phone Number
- 413-695-2884
License Information
- License Number (1)
- 20983
- License State (1)
- MA
- Taxonomy (1)
- Lactation Consultant, Non-RN · 174N00000X
- License Number (2)
- 3157
- License State (2)
- MA
- Taxonomy (2)
- Nutritionist · 133N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Amanda Elliston, LDN, CLC?
The NPI number of Amanda Elliston, LDN, CLC is 1417674219. It was assigned on October 21, 2022 and is currently active in the NPPES registry.
What is the specialty of Amanda Elliston, LDN, CLC?
Amanda Elliston, LDN, CLC is registered under the primary taxonomy Nutritionist (code 133N00000X), licensed in MA under license number 20983.
Where does Amanda Elliston, LDN, CLC practice?
The practice location is 12 Glenn Dr, Wilbraham, MA 01095-1404. The office can be reached at 413-695-2884 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417674219 directly on the NPPES registry website.