Ann Reidenbach, MPH RD CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

37000578A Issued in IN

Practice address

6522 Constitution Dr
Fort Wayne, IN 46804-1550

Phone

(260) 433-3877

Fax

(260) 755-5731

NPI assigned

Sep 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Reidenbach Nutrition, LLC

  • Registered Dietitian
  • Fort Wayne, IN
  • NPI 1922377423

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1114912482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6522 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041550",
            "telephone_number": "260-433-3877",
            "fax_number": "260-755-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6522 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041550",
            "telephone_number": "260-433-3877",
            "fax_number": "260-755-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDENBACH",
        "first_name": "ANN",
        "credential": "MPH RD CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37000578A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI , ORGANIZATIONAL ENTITY",
            "identifier": "1922377423",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Anne Reid, MS
• Kayla Reid
• Malayshia Reid, DOULA
• Mykhale Reid, RBT
• Reidenbach Nutrition, LLC
• Amy Reidhaar, OD
• Reifeis Oral Surgery and Dental Implants
• Robert L Reifeis Jr., D.D.S.
• Theresa Reiff
• Taylor Reihl

• Registered Dietitian in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.