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AMANDA LYNN NUTRITION LLC
NPI 1407578511
Clinic/Center in Lorton, VA

Active since September 15, 2022
9031 ENDICOTT PL, LORTON, VA 22079(815) 321-1555 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Lynn Nutrition Llc NPPES

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

AMANDA LYNN NUTRITION LLC (NPI 1407578511) is a healthcare organization registered as a clinic/center in Lorton, Virginia and active in the NPI registry since September 2022. The organization lists Amanda Lynn Stathos, Owner, as its authorized official.

NPPES Registry Identity

NPI1407578511
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAMANDA LYNN NUTRITION LLC
Location Address9031 ENDICOTT PLLorton, VA 22079-4541
Mailing Address9031 Endicott PlLorton, VA 22079-4541 · (815) 321-1555
Phone(815) 321-1555
Organization SubpartNo
Authorized OfficialAmanda Lynn StathosOwner · (815) 321-1555
Enumeration DateSeptember 15, 2022
NPPES CertifiedSeptember 15, 2022
✔ NPI 1407578511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
9031 ENDICOTT PL, Lorton, VA 22079
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Other Providers at the Same Location NPPES

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

AMANDA LYNN STATHOS MS, RD, LD
Dietitian, Registered
9031 ENDICOTT PL
LORTON, VA 22079
Fairfax County (815) 321-1555

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 Lynn Nutrition LLC's NPI number?

The NPI number for Amanda Lynn Nutrition LLC is 1407578511. It was assigned to this organization in the NPPES registry on September 15, 2022.

Where is Amanda Lynn Nutrition LLC located?

Amanda Lynn Nutrition LLC is located at 9031 Endicott Pl, Lorton, VA 22079. The listed phone number is (815) 321-1555.

What is Amanda Lynn Nutrition LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Amanda Lynn Nutrition LLC was last updated on September 15, 2022. 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.