Active NPI
Georgianna Walker, MS, LRD
- Metabolic Nutrition Registered Dietitian
- New Rockford, ND
National Provider Identifier
1154558757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- 89
- Practice address
- 319 2ND St SE
New Rockford, ND 58356-1951 - Phone
- (701) 947-5950
- Fax
- (701) 947-5950
- NPI assigned
- Jun 22, 2009
- 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 |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 89 | ND | Primary |
Addresses
Primary practice location
319 2ND St SE
New Rockford, ND 58356-1951
Mailing address
319 2ND St SE
New Rockford, ND 58356-1951
Phone (701) 947-5950
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89 | ND | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245628800000",
"number": "1154558757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 2ND ST SE",
"city": "NEW ROCKFORD",
"state": "ND",
"postal_code": "583561951",
"telephone_number": "701-947-5950",
"fax_number": "701-947-5950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 2ND ST SE",
"city": "NEW ROCKFORD",
"state": "ND",
"postal_code": "583561951",
"telephone_number": "701-947-5950",
"fax_number": "701-947-5950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "GEORGIANNA",
"credential": "MS, LRD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-22",
"last_updated": "2009-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "ND",
"license": "89",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Rockford, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.