Individual provider Active NPI

Walter Wanas, RDN

  • Registered Dietitian
  • Scranton, PA
National Provider Identifier
1235734724
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN002312 Issued in PA
Practice address
501 S Washington Ave Ste 1000
Scranton, PA 18505-3814
Phone
(570) 343-2383
Fax
(570) 343-3923
NPI assigned
Dec 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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 DN002312 PA Primary

Addresses

Primary practice location

501 S Washington Ave Ste 1000
Scranton, PA 18505-3814

Mailing address

501 S Washington Ave Ste 1000
Scranton, PA 18505-3814
Phone (570) 343-2383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201210001178 PA Practitioner - Registered Dietitian Or Nutrition Professional 7416369731 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Wright Center Medical Group Dietitian, Registered Current Accepting new patients
The Wright Center Medical Group Dietitian, Registered CurrentSince Dec 1, 2020 Accepting new patients

Locations

260 Daleville Hwy
Ste 103
Covington Township, PA 18444
Phone (570) 591-5150

103 Spruce St
Hawley, PA 18428
Phone (570) 390-4545

1855 Fair Ave
Lowr
Honesdale, PA 18431
Phone (570) 253-3980

5 S Washington Ave
Jermyn, PA 18433
Phone (570) 230-0019

501 S Washington Ave
Ste 1000
Scranton, PA 18505
Phone (570) 866-3058

200 Wyoming Ave
#250
Scranton, PA 18503
Phone (570) 342-5253

312 Boulevard Ave
Scranton, PA 18519
Phone (570) 489-4567

329 Cherry St
Ste 1B
Scranton, PA 18505
Phone (570) 591-5250

1401 Fellows St
Scranton, PA 18504
Phone (570) 591-5280

1145 Northern Blvd
South Abington Township, PA 18411
Phone (570) 493-1335

169 N Pennsylvania Ave
Wilkes Barre, PA 18701
Phone (570) 346-8147

Interoperability endpoints

  • Direct secure messaging: wwanas@thewrightcenter.medentdirect.com

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": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1235734724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S WASHINGTON AVE STE 1000",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185053814",
            "telephone_number": "570-343-2383",
            "fax_number": "570-343-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S WASHINGTON AVE STE 1000",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185053814",
            "telephone_number": "570-343-2383",
            "fax_number": "570-343-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANAS",
        "first_name": "WALTER",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN002312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.