Provider Demographics
NPI:1669517546
Name:MCFARLAND, AMANDA JEAN (RDN, CDCES)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:JEAN
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:RDN, CDCES
Other - Prefix:MS
Other - First Name:AMANDA
Other - Middle Name:JEAN
Other - Last Name:O'NEILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, CSSD, CDE, CPT
Mailing Address - Street 1:2817 DOUGLAS ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-3107
Mailing Address - Country:US
Mailing Address - Phone:808-228-2626
Mailing Address - Fax:
Practice Address - Street 1:328 ULUNIU ST STE 103
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2542
Practice Address - Country:US
Practice Address - Phone:808-451-0555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
HI121-LD133V00000X
PADN002183133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000318915Medicare PIN