AMELIA BETH DAVIDSON MS, RD, CSP, CD
NPI 1255688685
Dietitian, Registered - Nutrition, Pediatric in Salt Lake City, UT

Active since August 03, 2012
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-5320(801) 662-5300 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amelia Beth Davidson Ms, Rd, Csp, Cd NPPES

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

AMELIA BETH DAVIDSON MS, RD, CSP, CD (NPI 1255688685) is an individual nutrition, pediatric provider in Salt Lake City, Utah, licensed in Utah (6349146-4901) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1255688685
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameAMELIA BETH DAVIDSONCredential: MS, RD, CSP, CD
Location Address100 MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing Address100 Mario Capecchi DrSalt Lake City, UT 84113-1103 · (801) 662-5320 · Fax (801) 662-5300
Fax(801) 662-5300
Sole ProprietorNo
Enumeration DateAugust 3, 2012
Last NPPES UpdateJuly 13, 2023
NPPES CertifiedJuly 13, 2023
✔ NPI 1255688685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
License✔ Licensed in UT · 6349146-4901
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
100 MARIO CAPECCHI DR, Salt Lake City, UT 84113

Other Names 1

Former Name (1)Amelia Beth Mcbride Ms, Rd, Csp, Cd

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amelia Beth Davidson Ms, Rd, Csp, Cd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Amelia Davidson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 20

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

Pediatrics
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Anesthesiology (Pediatric Anesthesiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Pediatrics)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Neonatal, Critical Care)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Gastroenterology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Dietitian, Registered (Nutrition, Metabolic)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Critical Care Medicine)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Cardiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113

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 Amelia Davidson's NPI number?

The NPI number for Amelia Davidson is 1255688685. It was assigned to this individual provider in the NPPES registry on August 3, 2012. The provider is also known as Amelia Beth Mcbride Ms, Rd, Csp, Cd.

Where is Amelia Davidson located?

Amelia Davidson practices at 100 Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-5320.

What is Amelia Davidson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

Is Amelia Davidson enrolled in Medicare?

Yes. Amelia Davidson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amelia Davidson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amelia Davidson reassigns Medicare benefits to Ihc Health Services Inc (Salt Lake City, UT). The 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 Amelia Davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amelia Davidson accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Amelia Davidson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amelia Davidson was last updated on July 13, 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.