MEDICARE: MRS. AMANDA KATE BENEDICT RDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133VN1006X	Metabolic Nutrition Registered Dietitian	86447799	VA

General Provider Information

NPI Number	:	1144182015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMANDA KATE BENEDICT RDN

Provider Business Mailing Address
First Line	:	1 HOSPITAL DR RM 1808
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22908-0001
Country	:	US
Telephone Number	:	434-409-9493
Fax Number	:	434-924-1797

Provider Business Practice Location Address
First Line	:	1 HOSPITAL DR RM 1808
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22908-0001
Country	:	US
Telephone Number	:	434-409-9493
Fax Number	:	434-924-1797

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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