Provider Demographics
NPI:1588934327
Name:SVATOS, AMANDA (RD, LMNT)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:SVATOS
Suffix:
Gender:F
Credentials:RD, LMNT
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:CHAPMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12565 W CENTER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-3802
Mailing Address - Country:US
Mailing Address - Phone:402-930-4276
Mailing Address - Fax:
Practice Address - Street 1:12565 W CENTER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-3802
Practice Address - Country:US
Practice Address - Phone:402-930-4276
Practice Address - Fax:402-342-0034
Is Sole Proprietor?:No
Enumeration Date:2012-01-11
Last Update Date:2017-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered