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Active NPI 1770058232 Individual Practitioner Female Practitioner

Amanda Nack

Dietitian, Registered • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Amanda Nack is a registered healthcare professional specializing in Dietitian, Registered in Fargo, ND. Practice services are available at 736 BROADWAY N under active NPI credentials.

Frequently performed procedures and clinical services include medical nutrition therapy, assessment and intervention, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

736 Broadway N

Fargo, ND 58102

Telephone 7012342000
Fax 7012342345
Associated Practice Facility / Clinic
🏢 Sanford Medical Center Fargo Facility NPI 1609156900

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 17.6 Yrs
Regional Practice Density
133 Specialists

Practicing in Fargo, ND (311 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97802 Medical nutrition therapy, assessment and intervention, each 15 minutes
40 11 $90.00 $30.01

Medical Specialties & State Licenses

CMS Verified: 2022-07-11
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License ND 970

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.

Secondary Practice Locations

1720 University Dr S

Fargo, ND 581034940

Phone: 7014615319

1720 University Dr S

Fargo, ND 581034940

Phone: 7014615319

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Rachel Myers , RN

Registered Nurse

NPI 1003686486

Registered Nurse

Dr. Nicola Herting , PhD, LP

Psychologist - Clinical Child & Adolescent

NPI 1013542182

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Dr. Naomi Schuldt , DNP, APRN, FNP-C

Nurse Practitioner - Family

NPI 1013693837

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Emuejevoke Okoh , MD

Internal Medicine - Gastroenterology

NPI 1013970482

Doctor of Medicine (M.D.)

Dr. Zhanyong Bing , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1023051810

Doctor of Medicine (M.D.)

NPI 1023397221

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address July 11, 2022

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074

📍
Updated Practice Location December 28, 2018

Registered at 736 BROADWAY N, FARGO, ND 58102 (Tel: 7012342000)

📍
Updated Business Mailing Address December 28, 2018

Registered at PO BOX 2010, FARGO, ND 581222484

NPI Profile Active October 10, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2018

Registered at 1720 UNIVERSITY DR S, FARGO, ND 581034940 (Tel: 7014615319)

📍
Updated Business Mailing Address October 10, 2018

Registered at 1720 UNIVERSITY DR S, FARGO, ND 581034940 (Tel: 7014615319)

👤
Provider Name / Credentials Updated October 10, 2018

Recorded as AMANDA NACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2018

Dietitian, Registered (License #970 in ND)

🟢
Initial NPI Registration & Enumeration October 10, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770058232
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2018
Last Update: July 11, 2022
Sole Proprietor: No

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.