Active NPI
Laura Eckert, MA, RDN, LD
- Registered Dietitian
- Fort Wayne, IN
National Provider Identifier
1336559301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37002305A
- Practice address
- 1007 W Rudisill Blvd
Fort Wayne, IN 46807-2170 - Phone
- (260) 425-5180
- Fax
- (260) 425-5210
- NPI assigned
- Apr 30, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 37002305A | IN | Primary |
Addresses
Primary practice location
1007 W Rudisill Blvd
Fort Wayne, IN 46807-2170
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1336559301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 W RUDISILL BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468072170",
"telephone_number": "260-425-5180",
"fax_number": "260-425-5210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKERT",
"first_name": "LAURA",
"credential": "MA, RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-30",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37002305A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.