Amanda Peterson, MS, RDN, LDN is a
Dietitian, Registered based in Kenansville, North Carolina. Amanda Peterson is licensed to practice in North Carolina (license number L005094) and her current practice location is
401 N Main St, Kenansville, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 296-2747.
NPI number for Amanda Peterson is 1588191043 and her current mailing address is Po Box 278, Kenansville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588191043.
Healthcare Provider's Profile
Full Name | Amanda Peterson |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 401 N Main St, Kenansville, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588191043
- Provider Enumeration Date: 05/16/2017
- Last Update Date: 05/16/2017
Medical Identifiers
Medical identifiers for Amanda Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588191043 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | L005094 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda Peterson, MS, RDN, LDN Po Box 278, Kenansville, NC 28349-0278 Ph: (910) 296-2747 | Amanda Peterson, MS, RDN, LDN 401 N Main St, Kenansville, NC 28349-8801 Ph: (910) 296-2747 |
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