Provider Demographics
NPI:1952292476
Name:PICKHINKE, AMELIA (RDN)
Entity type:Individual
Prefix:
First Name:AMELIA
Middle Name:
Last Name:PICKHINKE
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 YANKEE HILL RD STE 103
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-7742
Mailing Address - Country:US
Mailing Address - Phone:515-321-4662
Mailing Address - Fax:
Practice Address - Street 1:3900 YANKEE HILL RD STE 103
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-7742
Practice Address - Country:US
Practice Address - Phone:022-305-5864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-12
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE86419341133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE86419341OtherCOMMISSION ON DIETETIC REGISTRATION