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

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: August 16, 2026.

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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Other Identifiers 1

Medicare PINM400075741IN

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.

PAUL J. RAIMAN M.D.
Colon & Rectal Surgery
11141 PARKVIEW PLAZA DR, SUITE 310
FORT WAYNE, IN 46845
Allen County (260) 489-8898
NICHOLAI IAN KIEHL MD
Urology
11141 PARKVIEW PLAZA DR, SUITE 320
FORT WAYNE, IN 46845
Allen County (260) 482-8681
DR. JANETTE L HOLUB MD, MPH
Surgery (Trauma Surgery)
11141 PARKVIEW PLAZA DR, SUITE 305
FORT WAYNE, IN 46845
Allen County (260) 266-8900
DR. LAWRENCE LOTTENBERG MD
Surgery (Surgical Critical Care)
11141 PARKVIEW PLAZA DR, SUITE 305
FORT WAYNE, IN 46845
Allen County (800) 633-5331
JAMES R. MILLER M.D.
Plastic Surgery
11141 PARKVIEW PLAZA DR, SUITE 305
FORT WAYNE, IN 46845
Allen County (260) 266-8900
ELIZABETH A DASELER NP
Nurse Practitioner
11141 PARKVIEW PLAZA DR, SUITE 305
FORT WAYNE, IN 46845
Allen County (260) 266-8900
ALLIED PHYSICIANS INC
Otolaryngology
11141 PARKVIEW PLAZA DR, SUITE 210
FORT WAYNE, IN 46845
Allen County (260) 484-0919
BETH BURNS NP
Nurse Practitioner
11141 PARKVIEW PLAZA DR, SUITE 305
FORT WAYNE, IN 46845
Allen County (260) 266-8900

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 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.

Where is Amanda Bolin located?

Amanda Bolin practices at 11141 Parkview Plaza Dr Suite 210, Fort Wayne, IN 46845. The listed phone number is (260) 347-8187.

What is Amanda Bolin's specialty?

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

When was this NPI record last updated?

The NPPES record for Amanda Bolin was last updated on November 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.