Provider Demographics
NPI:1972820249
Name:CAPOZZI, AMBER M (RD, CSOWM, LD, CDE)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:M
Last Name:CAPOZZI
Suffix:
Gender:F
Credentials:RD, CSOWM, LD, CDE
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:M
Other - Last Name:SEEWALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:226 TABAGO CT
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78737-9355
Mailing Address - Country:US
Mailing Address - Phone:619-277-7887
Mailing Address - Fax:
Practice Address - Street 1:226 TABAGO CT
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78737-9355
Practice Address - Country:US
Practice Address - Phone:619-277-7887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-27
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered