Active NPIIndividual providerSole proprietor

Ms. Amanda J Petty, RD

Dietitian, Registered in Wakefield, Rhode Island

NPI Number1962760389
Practice location
110 Woodbine RD, Wakefield, RI 02879-2827
Fax
—
Last updated
April 24, 2012

Amanda J Petty is a Dietitian, Registered based in Wakefield, RI. Amanda J Petty practices in Wakefield, RI and has the professional credentials of RD. The NPI Number for Amanda J Petty is 1962760389 and holds a License No. LDN00697 (RI). The current practice location address for Amanda J Petty is 110 Woodbine RD, Wakefield, RI 02879-2827 and can be reached out via phone at 401-783-8057.

Provider Profile Details

NPI Number
1962760389
Provider Name
Amanda J Petty
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
110 Woodbine RD, Wakefield, RI 02879-2827
Phone Number
401-783-8057
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 24, 2012
Last Update Date
April 24, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Woodbine RD
Wakefield, RI 02879-2827
Zip
02879-2827
Phone Number
401-783-8057
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
110 Woodbine RD
Wakefield, RI 02879-2827
City
Wakefield
State
RI
Zip
02879-2827
Phone Number
401-783-8057

License Information

License Number
LDN00697
License State
RI
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ms. Amanda J Petty, RD?

The NPI number of Ms. Amanda J Petty, RD is 1962760389. It was assigned on April 24, 2012 and is currently active in the NPPES registry.

What is the specialty of Ms. Amanda J Petty, RD?

Ms. Amanda J Petty, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in RI under license number LDN00697.

Where does Ms. Amanda J Petty, RD practice?

The practice location is 110 Woodbine RD, Wakefield, RI 02879-2827. The office can be reached at 401-783-8057 (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 1962760389 directly on the NPPES registry website.

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