Individual provider Active NPI

Mallary Whipple, MS,RD,LDN

  • Registered Dietitian
  • Pittsburgh, PA
National Provider Identifier
1043449499
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN004168 Issued in PA
Practice address
3420 5TH Ave
Pittsburgh, PA 15213-3205
Phone
(412) 692-5200
Fax
(412) 692-7805
NPI assigned
Jul 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN004168 PA Primary

Addresses

Primary practice location

3420 5TH Ave
Pittsburgh, PA 15213-3205

Mailing address

3414 5TH Ave
Room 128
Pittsburgh, PA 15213-3205
Phone (412) 692-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1043449499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 5TH AVE",
            "address_2": "ROOM 128",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133205",
            "telephone_number": "412-692-5200",
            "fax_number": "412-692-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 5TH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133205",
            "telephone_number": "412-692-5200",
            "fax_number": "412-692-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "MALLARY",
        "name_prefix": "Mrs.",
        "credential": "MS,RD,LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.