Provider Demographics
NPI:1871476945
Name:BAUGHMAN, AMBER (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:BAUGHMAN
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2941 NORTHWESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-4256
Mailing Address - Country:US
Mailing Address - Phone:515-689-7071
Mailing Address - Fax:
Practice Address - Street 1:640 LINCOLN WAY
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-6911
Practice Address - Country:US
Practice Address - Phone:515-232-1961
Practice Address - Fax:833-719-1241
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA109183133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered