Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY HANNEKE, RDN, LD
Deactivated Sole ProprietorAMY HANNEKE, RDN, LD is a Registered Dietitian healthcare provider located in SODA SPRINGS, Idaho. NPI 1033638952 is deactivated in the NPPES registry. Verify at CMS.
Registered Dietitian · SODA SPRINGS, ID
This NPI has been deactivated.
The record was deactivated on March 7, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1033638952
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2017 (0.48219178082192 yrs)
- Last Updated
- Mar 20, 2018
- Deactivated
- Mar 7, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
320 ASHLAND ST.APT. 1SODA SPRINGS, ID, 832768327Browse ID providers · Browse ZIP 83276
- Phone
- 3145916429
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in SODA SPRINGS, ID
| Name | Credential | NPI |
|---|---|---|
| NIKI MIX | RDN, LD | 1518415058 |
| SARA BROWN | — | 1932773413 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.