Individual provider Active NPI

Ashley Walls, RDN, LDN

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1205535903
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.009005 Issued in IL
Practice address
160 N Wacker Dr Unit 201
Chicago, IL 60606-1633
Phone
(312) 374-5399
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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 164.009005 IL Primary

Addresses

Primary practice location

160 N Wacker Dr Unit 201
Chicago, IL 60606-1633

Mailing address

160 N Wacker Dr Unit 201
Chicago, IL 60606-1633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231219002474 IL Practitioner - Registered Dietitian Or Nutrition Professional 9436509395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Loft PLLCGroup PAC ID 3274866371, 13 clinicians

Practice addresses (Care Compare)

2027 W Division St
Suite 120
Chicago, IL 60622-9024
Phone (855) 552-5557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164.009005ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Health Loft PLLC Dietitian, Registered CurrentSince Oct 8, 2023 Accepting new patients
Health Loft Services LLC Dietitian, Registered PastSince Oct 8, 2023 Accepting new patients

Locations

160 N Wacker Dr
Unit 201
Chicago, IL 60606
Phone (312) 374-5399

Organizations & group practices 2

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": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1205535903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N WACKER DR UNIT 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N WACKER DR UNIT 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061633",
            "telephone_number": "312-374-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "ASHLEY",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.009005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.