AMANDA MICHELLE BOLIN RD
NPI 1689922403
Dietitian, Registered in Fort Wayne, IN

Q: What is Amanda Bolin's NPI number?

The NPI number for Amanda Bolin is 1689922403. It was assigned to this individual provider in the NPPES registry on August 28, 2012.

Q: What is Amanda Bolin'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 Bolin was last updated on November 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 28, 2012

11141 PARKVIEW PLAZA DR, SUITE 210, FORT WAYNE, IN 46845(260) 347-8187(260) 347-8023 Get Directions Write a Review

NPPES record last updated: November 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Amanda Michelle Bolin Rd NPPES

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

AMANDA MICHELLE BOLIN RD (NPI 1689922403) is an individual dietitian, registered in Fort Wayne, Indiana, licensed in Indiana (37002215A) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1689922403

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameAMANDA MICHELLE BOLINCredential: RD

Location Address11141 PARKVIEW PLAZA DR, SUITE 210Fort Wayne, IN 46845-1713

Mailing Address1234 E. Dupont Rd., Suite 1Fort Wayne, IN 46825-1545 · (260) 373-9728 · Fax (260) 458-5664

Phone(260) 347-8187

Fax(260) 347-8023

Sole ProprietorYes

Enumeration DateAugust 28, 2012

Last NPPES UpdateNovember 5, 2012

✔ NPI 1689922403 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 IN · 37002215A

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.

11141 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

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