What is Amy Fedewa's NPI number?

The NPI number assigned to this healthcare provider is 1881026300, enumerated as a individual on August 7, 2013.

Where is the provider located?

The provider is located at 1717 SHAFFER ST KALAMAZOO, MI 49048 and the phone number is (269) 226-5965.

What is the provider's specialty?

The provider's specialty is Dietitian, Registered with taxonomy code 133V00000X.

MS. AMY LYNN FEDEWA RD, LD - NPI 1881026300 - Dietitian, Registered in Kalamazoo, MI

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About Ms. Amy Lynn Fedewa Rd, Ld NPPES

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

MS. AMY LYNN FEDEWA RD, LD (NPI 1881026300) is an individual dietitian, registered in Kalamazoo, Michigan, licensed in Michigan (86012347) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1881026300

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMS. AMY LYNN FEDEWACredential: RD, LD

Location Address1717 SHAFFER STKalamazoo, MI 49048-1647

Mailing Address5943 Stadium Dr, Food And Nutrition Department Ba1565Kalamazoo, MI 49009-3016 · (269) 552-2836 · Fax (269) 552-2964

Phone(269) 226-5965

Fax(269) 226-5056

Sole ProprietorNo

Enumeration DateAugust 7, 2013

Last NPPES UpdateDecember 5, 2014

✔ NPI 1881026300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Licenses✔ Licensed in MI · 86012347✔ Licensed in GA · LD004098

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.

1717 SHAFFER ST, Kalamazoo, MI 49048

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