AMANDA JACQUELINE REICHARDT MS RDN CDN CPT
NPI 1093415135
Dietitian, Registered in Babylon, NY

Q: What is Amanda Reichardt's NPI number?

The NPI number for Amanda Reichardt is 1093415135. It was assigned to this individual provider in the NPPES registry on March 7, 2023. The provider is also known as Amanda Jacqueline Reichardt Ms Rdn Cdn Cpt.

Q: What is Amanda Reichardt's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Reichardt was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 07, 2023Accepts Medicare Assignment

41 JOHN ST, BABYLON, NY 11702(631) 205-3375 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Amanda Jacqueline Reichardt Ms Rdn Cdn Cpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA JACQUELINE REICHARDT MS RDN CDN CPT (NPI 1093415135) is an individual dietitian, registered in Babylon, New York, licensed in New York (86050604) and active in the NPI registry since March 2023. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1093415135

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameAMANDA JACQUELINE REICHARDTCredential: MS RDN CDN CPT

Location Address41 JOHN STBabylon, NY 11702-2932

Mailing Address41 John StBabylon, NY 11702-2932 · (631) 204-3375

Phone(631) 205-3375

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 7, 2023

NPPES CertifiedMarch 7, 2023

✔ NPI 1093415135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NY · 86050604

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

41 JOHN ST, Babylon, NY 11702

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Other Names 1

Professional Name (2)Amanda Jacqueline Reichardt Ms Rdn Cdn Cpt

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Jacqueline Reichardt Ms Rdn Cdn Cpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335684414

PECOS Enrollment IDI20240712002529

Medicare Billing Reassignments

Medicare enrollment records show Amanda Reichardt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Functional Nutrition Li PLLC

Same address

Dietitian, Registered

41 JOHN ST
Babylon, NY 11702

Reassigned Medicare billing, New York enrollment
2 clinicians in this Medicare group

NPI 1548874563 (631) 204-3375

Functional Nutrition Li PLLC

Same address

Dietitian, Registered

41 JOHN ST
Babylon, NY 11702

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Functional Nutrition Rx Inc
2 clinicians in this Medicare group

NPI 1548874563 (631) 204-3375

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $67.40 – $203.53

Typical copayment $0.00 (range $16.85 – $50.88)

Most-billed visit code NA

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE LEE GUARDINO LMT

Massage Therapist

41 JOHN ST
BABYLON, NY 11702

Suffolk County (631) 748-3645

ELIZABETH THERESA STROM RD

Dietitian, Registered

41 JOHN ST
BABYLON, NY 11702

Suffolk County (631) 204-3375

TYLER NORRIS

Physical Therapist

41 JOHN ST
BABYLON, NY 11702

Suffolk County (631) 621-1100

MISS CAITLIN JUSTINE ALFANO RDN

Dietitian, Registered

41 JOHN ST
BABYLON, NY 11702

Suffolk County (631) 321-1900

MS. MOLLY SARA PECK LMT

Massage Therapist

41 JOHN ST
BABYLON, NY 11702

Suffolk County (631) 321-1900

ERIN LETTIERI RD

Dietitian, Registered

41 JOHN ST
BABYLON, NY 11702

Suffolk County (631) 204-3375

BRIAN V. BECKER M.A.P.T.PLLC

Physical Therapist

41 JOHN ST
BABYLON, NY 11702

Suffolk County (631) 321-1100

DR. FRANK J VALENTE DC

Chiropractor (Sports Physician)

41 JOHN ST
BABYLON, NY 11702

Suffolk County (917) 338-7917

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Reichardt's NPI number?

The NPI number for Amanda Reichardt is 1093415135. It was assigned to this individual provider in the NPPES registry on March 7, 2023. The provider is also known as Amanda Jacqueline Reichardt Ms Rdn Cdn Cpt.

Where is Amanda Reichardt located?

Amanda Reichardt practices at 41 John St, Babylon, NY 11702. The listed phone number is (631) 205-3375.

What is Amanda Reichardt's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Amanda Reichardt enrolled in Medicare?

Yes. Amanda Reichardt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Amanda Reichardt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Reichardt reassigns Medicare benefits to 2 organizations: Functional Nutrition Li PLLC (Babylon, NY) and Functional Nutrition Li PLLC (Babylon, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Reichardt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Reichardt was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.