AMANDA PHILLIPS LDN/LN
NPI 1770400764
Nutritionist in Greeley, CO

Active since July 01, 2026Accepts Medicare Assignment
1829 90TH AVE, GREELEY, CO 80634(720) 684-7326 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amanda Phillips Ldn/ln NPPES

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

AMANDA PHILLIPS LDN/LN (NPI 1770400764) is an individual nutritionist in Greeley, Colorado, licensed in (19209) and active in the NPI registry since July 2026. She is a graduate of University Of North Dakota School Of Medicine (2022).

NPPES Registry Identity

NPI1770400764
Entity TypeIndividualFemale
Primary Taxonomy133N00000X
Provider Legal NameAMANDA PHILLIPSCredential: LDN/LN
Location Address1829 90TH AVEGreeley, CO 80634-5778
Mailing Address1829 90th AveGreeley, CO 80634-5778 · (720) 684-7326
Sole ProprietorYes
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2022
Enumeration DateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1770400764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
License✔ Licensed · 19209
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
1829 90TH AVE, Greeley, CO 80634

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Phillips Ldn/ln is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991264624
PECOS Enrollment IDI20260824003002

Medicare Billing Reassignment

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

Nutrition, Education
1829 90TH AVE
Greeley, CO 80634
  • Reassigned Medicare billing, Colorado enrollment

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

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

Nutritionist (Nutrition, Education)
1829 90TH AVE
GREELEY, CO 80634

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 Phillips's NPI number?

The NPI number for Amanda Phillips is 1770400764. It was assigned to this individual provider in the NPPES registry on July 1, 2026.

Where is Amanda Phillips located?

Amanda Phillips practices at 1829 90th Ave, Greeley, CO 80634. The listed phone number is (720) 684-7326.

What is Amanda Phillips's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Is Amanda Phillips enrolled in Medicare?

Yes. Amanda Phillips is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Amanda Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Phillips reassigns Medicare benefits to Grit & Grace Nutrition, LLC (Greeley, CO). 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 Amanda Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Phillips was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.