Provider Demographics
NPI:1952165516
Name:ESCHBERGER, AMY KATHRYN (RDN, LD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:KATHRYN
Last Name:ESCHBERGER
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:KATHRYN
Other - Last Name:ESCHBERGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RDN, LD
Mailing Address - Street 1:1202 RICHCREEK RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1950
Mailing Address - Country:US
Mailing Address - Phone:512-466-8618
Mailing Address - Fax:
Practice Address - Street 1:1202 RICHCREEK RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1950
Practice Address - Country:US
Practice Address - Phone:512-466-8618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT07144133VN1004X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric