Active NPI
Kathleen Carrelli Walton
- Registered Dietitian
- Raleigh, NC
National Provider Identifier
1073371357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 4808 Latimer Rd
Raleigh, NC 27609-5363 - Phone
- (704) 780-3817
- NPI assigned
- Mar 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
4808 Latimer Rd
Raleigh, NC 27609-5363
Mailing address
4808 Latimer Rd
Raleigh, NC 27609-5363
Other names 1
- Kathleen Walton
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iris Nutrition Group | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1073371357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4808 LATIMER RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4808 LATIMER RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095363",
"telephone_number": "704-780-3817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTON",
"first_name": "KATHLEEN",
"middle_name": "CARRELLI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-11",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "WALTON",
"credential": "MS, RD, LDN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.