Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Marroquin, MS, RD, LD

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1073979209

Amanda Marroquin, MS, RD, LD is a Pediatric Nutrition Registered Dietitian in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

1500 Cooper St
Fort Worth, TX 76104-2710
Phone: (682) 885-4260
Fax: (682) 885-2874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nutrition Registered Dietitian (primary) Taxonomy 133VN1004X · Licence DT83072 (TX)

Record details

NPI number1073979209
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , LD
Sole proprietorNo
NPI enumeratedJanuary 4, 2016
Last updated in NPPESApril 22, 2021
Certification dateApril 22, 2021
Mailing addressPo Box 733784, Dallas, TX 75373-3784

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