MEDICARE: AMBER WORST 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	133V00000X	Registered Dietitian		MI

General Provider Information

NPI Number	:	1871458513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER WORST RDN

Provider Business Mailing Address
First Line	:	3724 JEFFERSON ST STE 104
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-6204
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2849 TIMBERLANE SW
Second Line	:
City	:	GRANDVILLE
State	:	MI
Zip	:	49418-1248
Country	:	US
Telephone Number	:	616-813-4491
Fax Number	:

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

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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Directions to “ AMBER WORST RDN” Practice Location

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