IndividualActive
Amanda Gordillo, MA, RD, LD
NPI 1134619158 · Registered Dietitian · Mishawaka, IN
Amanda Gordillo, MA, RD, LD is a Registered Dietitian provider in Mishawaka, IN (NPI 1134619158).
Provider details
- NPI number
- 1134619158
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MA, RD, LD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 86015474 (IN)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2304 Trailridge S
Mishawaka, IN 46544-6624
Phone: (574) 383-3542
Street-level locationGet directions
Mailing address
615 N Michigan St
South Bend, IN 46601-1033
Registry dates
- Enumerated
- 2018-05-15
- Last updated
- 2021-12-08
- Certified
- 2021-12-08
Frequently asked questions
- What is Amanda Gordillo's NPI number?
- Amanda Gordillo's National Provider Identifier (NPI) is 1134619158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amanda Gordillo's specialty?
- Amanda Gordillo is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Amanda Gordillo located?
- Amanda Gordillo's practice location on file with NPPES is 2304 Trailridge S, Mishawaka, IN 46544-6624.
- What is Amanda Gordillo's phone number?
- The practice phone number listed in the NPPES registry for Amanda Gordillo is (574) 383-3542.
- Is Amanda Gordillo's NPI active?
- Yes — Amanda Gordillo's NPI (1134619158) is active in the NPPES registry as of the last update on 2021-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.