Individual provider · Type 1 NPI

Amanda Stavinoha, RD, LD

Pediatric Nutrition Registered Dietitian · Dallas, TX

NPI number 1578863908 Active

Practice location

1935 Medical District Dr, Clinical Nutrition
Dallas, TX 75235-7701

Fax (214) 456-6287

Mailing address

6419 Del Norte Ln
Dallas, TX 75225-2618

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004XDT81013 (TX)

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

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About NPI 1578863908

Amanda Stavinoha, RD, LD's National Provider Identifier is 1578863908, issued on Nov 2, 2010. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Dallas, TX. The record was last updated on Sep 9, 2019.