Maxwell Walker, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2013028579 Issued in MO

Practice address

818 Sugar Valley CT
Saint Peters, MO 63376-7474

Phone

(719) 694-4352

NPI assigned

Aug 9, 2013

Last updated

Aug 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1225461569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 W HOMER ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606421280",
            "telephone_number": "888-785-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SUGAR VALLEY CT",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767474",
            "telephone_number": "719-694-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MAXWELL",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-09",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2013028579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #03687)
• Walgreen Co (Walgreens #05974)
• Amanda Walker
• Jarvis Walker
• Jill Walker, PT
• Allisha Wall, LPC
• Jodie Wallis, CLC, MS, CCC-SLP
• Zamika A Walls
• Joseph Ryan Walsh, PA
• Rachel Kathleen Walthall, SLP

• Registered Dietitian in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.