Amanda Gordillo, MA, RD, LD - Dietitian in Mishawaka, IN

Amanda Gordillo, MA, RD, LD is a Dietitian, Registered based in Mishawaka, Indiana. Amanda Gordillo is licensed to practice in Indiana (license number 86015474) and her current practice location is 2304 Trailridge S, Mishawaka, Indiana. She can be reached at her office (for appointments etc.) via phone at (574) 383-3542.

NPI number for Amanda Gordillo is 1134619158 and her current mailing address is 615 N Michigan St, South Bend, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134619158.

Contact Information

Amanda Gordillo, MA, RD, LD
2304 Trailridge S,
Mishawaka, IN 46544-6624
(574) 383-3542
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAmanda Gordillo
GenderFemale
SpecialityDietitian, Registered
Location2304 Trailridge S, Mishawaka, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134619158
  • Provider Enumeration Date: 05/15/2018
  • Last Update Date: 12/08/2021

Medical Identifiers

Medical identifiers for Amanda Gordillo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134619158NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 86015474 (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Gordillo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda Gordillo, MA, RD, LD
615 N Michigan St,
South Bend, IN 46601-1033

Ph: () -
Amanda Gordillo, MA, RD, LD
2304 Trailridge S,
Mishawaka, IN 46544-6624

Ph: (574) 383-3542

Reviews and Comments


Dietitian, Registered in Mishawaka, IN

Kayla Elise Dickson,
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Phone: 574-335-8445    
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Mrs. Linda Schaeper, RDN
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Practice Location: 5214 Holycross Parkway, Mishawaka, IN 46545
Phone: 574-335-5000    
Mrs. Tracy Jeannine Pfaffenberger, R.D., C.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 129 S Home St, Mishawaka, IN 46544
Phone: 574-256-9568    Fax: 574-256-0817
Stephanie Terese Malley, RD
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Medicare: Not Enrolled in Medicare
Practice Location: 611 East Douglas Road, Suite 405, Mishawaka, IN 46545
Phone: 574-335-6240    Fax: 574-335-6241

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.