Chun-Baxter, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

CHUN-BAXTER, LLC

Practice address

25 N New Jersey St Apt 427
Indianapolis, IN 46204-2889

Phone

(646) 637-2915

NPI assigned

Dec 15, 2022

Organization subpart

No

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

Authorized official

Name

Wan NA ChunNPI 1437861945

Title

Registered Dietian

Phone

(646) 647-2915

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wan NA Chun

  • Registered Dietitian
  • Indianapolis, IN
  • NPI 1437861945

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1144932617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 KEYSTONE XING STE 115",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462402453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N NEW JERSEY ST APT 427",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042889",
            "telephone_number": "646-637-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUN-BAXTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "WAN NA",
        "authorized_official_title_or_position": "REGISTERED DIETIAN",
        "authorized_official_telephone_number": "646-647-2915"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atul Radheshyam Chugh, M.D.
• Elias Miguel Chuki Naguanagua, MD
• Ebere Chukwu, MD
• Juliet Kachi Chukwu
• Aaron Philip Chum
• Audrey Chun
• Lisa R. Chun, D.O.
• Wan NA Chun
• Eric Chung, MD
• Michelle Ju-Hyun Chung, MD

• Registered Dietitian in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.