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AMANDA R LARREA RD
NPI 1952024952
Dietitian, Registered in Crown Point, IN

Active since September 23, 2022
10855 VIRGINIA ST, CROWN POINT, IN 46307(219) 407-5500 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2026, Aug 12, 2024, Jul 13, 2023 and 2 more (5 updates tracked since 2022).

About Amanda R Larrea Rd NPPES

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

AMANDA R LARREA RD (NPI 1952024952) is an individual dietitian, registered in Crown Point, Indiana, licensed in Illinois (164-009042) and active in the NPI registry since September 2022. She maintains a secondary practice location in Chicago and is a graduate of Other (2020).

NPPES Registry Identity

NPI1952024952
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameAMANDA R LARREACredential: RD
Location Address10855 VIRGINIA STCrown Point, IN 46307-0210
Mailing Address10855 Virginia StCrown Point, IN 46307-0210 · (219) 407-5500
Phone(219) 407-5500
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 23, 2022
Last NPPES UpdateFebruary 6, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1952024952 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 IL · 164-009042✔ Licensed in IN · 37004442A
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.
10855 VIRGINIA ST, Crown Point, IN 46307
Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda R Severson Rd

Secondary Practice Location 1

Location 15841 S Maryland AveChicago, IL 60637-1443 · Phone (888) 824-0200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda R Larrea Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062883408
PECOS Enrollment IDI20260401002186

Other Providers at the Same Location NPPES 12

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

MRS. KELLY STRAZZANTE RD, PA-C
Physician Assistant
10855 VIRGINIA ST
CROWN POINT, IN 46307
Lake County (219) 407-5500
UCHICAGO MEDICINE NORTHWEST INDIANA INC
General Acute Care Hospital
10855 VIRGINIA ST
CROWN POINT, IN 46307
Lake County (999) 999-9999
DR. VIGNAN ELE AU.D.
Audiologist
10855 VIRGINIA ST
CROWN POINT, IN 46307
Lake County (219) 407-5500
THOMAS PAWLOWSKI D.O.
Family Medicine
10855 VIRGINIA ST
CROWN POINT, IN 46307
Lake County (888) 824-0200
ADAM KESSLER
Emergency Medicine
10855 VIRGINIA ST
CROWN POINT, IN 46307
Lake County (888) 824-0200
MARIA JOANNA AGORIS PA-C
Physician Assistant
10855 VIRGINIA ST
CROWN POINT, IN 46307
Lake County (888) 824-0200
SARAH ANN WILLIAMS-PEREZ MSN, FNP-BC
Nurse Practitioner
10855 VIRGINIA ST
CROWN POINT, IN 46307
Lake County (888) 824-0200
ALLAN W CASS MD
Radiology (Radiation Oncology)
10855 VIRGINIA ST
CROWN POINT, IN 46307
Lake County (888) 824-0200

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 Larrea's NPI number?

The NPI number for Amanda Larrea is 1952024952. It was assigned to this individual provider in the NPPES registry on September 23, 2022. The provider is also known as Amanda R Severson Rd.

Where is Amanda Larrea located?

Amanda Larrea practices at 10855 Virginia St, Crown Point, IN 46307. The listed phone number is (219) 407-5500.

What is Amanda Larrea's specialty?

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

Is Amanda Larrea enrolled in Medicare?

Yes. Amanda Larrea is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Larrea was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.