DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. AMY J. FORD MS, RD, CD

MEDICARE: MRS. AMY J. FORD MS, RD, CD
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
1133VN1004XPediatric Nutrition Registered Dietitian1482-029WI

General Provider Information

NPI Number : 1083822878
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY J. FORD MS, RD, CD
Provider Business Mailing Address
First Line : 5026 MARATHON DR
Second Line :
City : MADISON
State : WI
Zip : 53705-4713
Country : US
Telephone Number : 608-469-5245
Fax Number :
Provider Business Practice Location Address
First Line : 5026 MARATHON DR
Second Line :
City : MADISON
State : WI
Zip : 53705-4713
Country : US
Telephone Number : 608-469-5245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1275600819 — SARAH E. VAN RIET RD, CDE, LN
Practice Location Address:
5034 MARATHON DRIVE , UWMF HEALTH EDUCATION
MADISON, WI
53705-4713
Practice Phone: 608-287-2770
Practice Fax:
1306812425 — GRANITE CITY HOME CARE SERVICES, LLC
Practice Location Address:
2100 MADISON AVE
GRANITE CITY, IL
62040-4713
Practice Phone: 618-798-3200
Practice Fax:
1518119536 — KAREN E SEIN OHN MD
Practice Location Address:
2100 MADISON AVE
GRANITE CITY, IL
62040-4713
Practice Phone: 618-798-3000
Practice Fax:
1013284223 — DR. JENNIFER ANNE LECHEVALIER PHARMD, RPH
Practice Location Address:
2100 MADISON AVE
GRANITE CITY, IL
62040-4713
Practice Phone: 618-798-3000
Practice Fax:
1245787472 — HANNAH ZIEGLER PA-C
Practice Location Address:
2100 MADISON AVE
GRANITE CITY, IL
62040-4713
Practice Phone: 618-798-3260
Practice Fax:
1831630458 — MELISSA LEE BOUNDS NP
Practice Location Address:
2100 MADISON AVE
GRANITE CITY, IL
62040-4713
Practice Phone: 618-798-3066
Practice Fax:

Directions to “ MRS. AMY J. FORD MS, RD, CD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.