AMANDA PENCEK RDN
NPI 1710610696
Dietitian, Registered in Atlanta, GA

Q: What is Amanda Pencek's NPI number?

The NPI number for Amanda Pencek is 1710610696. It was assigned to this individual provider in the NPPES registry on July 7, 2022.

Q: What is Amanda Pencek'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 Pencek was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 07, 2022

371 E PACES FERRY RD NE STE 750, ATLANTA, GA 30305(470) 419-4380 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Amanda Pencek Rdn NPPES

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

AMANDA PENCEK RDN (NPI 1710610696) is an individual dietitian, registered in Atlanta, Georgia, licensed in Georgia (LD005601) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1710610696

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameAMANDA PENCEKCredential: RDN

Location Address371 E PACES FERRY RD NE STE 750Atlanta, GA 30305-2372

Mailing Address1577 Archer St SwAtlanta, GA 30314-2209

Phone(470) 419-4380

Sole ProprietorNo

Enumeration DateJuly 7, 2022

NPPES CertifiedJuly 7, 2022

✔ NPI 1710610696 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 GA · LD005601

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.

371 E PACES FERRY RD NE STE 750, Atlanta, GA 30305

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Other Providers at the Same Location NPPES 9

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

BELTLINE WEIGHT LOSS LLC

Preventive Medicine (Obesity Medicine)