AMANDA HOLMES RD, LD
NPI 1811524226
Dietitian, Registered in Saint Paul, MN
About Amanda Holmes Rd, Ld NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA HOLMES RD, LD (NPI 1811524226) is an individual dietitian, registered in Saint Paul, Minnesota, licensed in Minnesota (3883) and active in the NPI registry since March 2020.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amanda Holmes Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amanda Holmes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55403
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 clinicians in this Medicare group
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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT PAUL, MN 55114
SAINT PAUL, MN 55114
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 Holmes's NPI number?
The NPI number for Amanda Holmes is 1811524226. It was assigned to this individual provider in the NPPES registry on March 25, 2020.
Where is Amanda Holmes located?
Amanda Holmes practices at 2550 University Ave W Ste 216S, Saint Paul, MN 55114. The listed phone number is (952) 977-1816.
What is Amanda Holmes's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Amanda Holmes enrolled in Medicare?
Yes. Amanda Holmes is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amanda Holmes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Holmes reassigns Medicare benefits to Park Nicollet Clinic (Minneapolis, MN). 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 Holmes'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 Holmes was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Amanda Holmes, RD, LD · NPI 1811524226
Dietitian, Registered provider in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since March 25, 2020.
## Identity
- **NPI:** 1811524226 (Entity type: Individual)
- **Enumerated:** March 25, 2020
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 3883 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2550 UNIVERSITY AVE W STE 216S, Saint Paul, MN 55114-1916
- **Phone:** (952) 977-1816
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Park Nicollet Clinic (NPI 1912315144, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 12, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1811524226) · Data from the CMS NPPES public registry.