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Amanda Archibald, R.D.

Dietitian, Registered in Grand Junction, CO. Individual provider (NPI-1).

NPI number1639508161
StatusActive
Last updated in NPPESJan 5, 2023

Details

NPI
1639508161
Entity type
Individual (NPI-1)
Name
Amanda Archibald
Credential
R.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 5, 2013
Certification date
Jan 5, 2023
Last updated
Jan 5, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, RegisteredD01520MDYes
133N00000X NutritionistD01520MD
133NN1002X Nutritionist, Nutrition, EducationD01520MD

Practice location

361 W Ridges Blvd
Grand Junction, CO 81507-1703

Phone 301-865-4607

Mailing address

361 W Ridges Blvd
Grand Junction, CO 81507-1703

Phone 301-865-4607

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Registered Dietitian providers in Grand Junction, CO

All 35 Registered Dietitian providers in Grand Junction · All 4,673 providers in Grand Junction

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