IndividualActive
Amanda Moder, RD, LD
NPI 1023494283 · Registered Dietitian · Rochester, MN
Provider details
- NPI number
- 1023494283
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LD
- Sex
- Female
- Sole proprietor
- No
- License
- 3566 (MN)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
200 1st St Sw
Rochester, MN 55905-0001
Phone: (507) 284-2511
Approximate (ZIP-level) locationGet directions
Mailing address
200 1st St Sw
Rochester, MN 55905-0001
Additional practice locations (1)
- 500 37th St NwRochester, MN 55901-3404Phone: (507) 289-0266
Registry dates
- Enumerated
- 2015-08-10
- Last updated
- 2026-02-20
- Certified
- 2026-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.