Christine Marie Lewallen, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

876533 Issued in CA

Practice address

2233 Grand Canal Blvd Ste 106
Stockton, CA 95207-6657

Phone

(209) 483-7647

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)
• Jefferson Center for Mental Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Evergreen, CO
  • NPI 1154627503
  NPD (past)
• Jefferson Center for Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Evergreen, CO
  • NPI 1639350879
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1407927239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3143 SEA GULL LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952194604",
            "telephone_number": "209-483-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 GRAND CANAL BLVD STE 106",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076657",
            "telephone_number": "209-483-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWALLEN",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "876533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronli Levi, RD
• Joanna Levin
• Daniel Edward Levinsohn, M.D.
• Rona Levy, MFT
• Emily Lew, MS, ATC
• Carla Ann Lewandowski-Spivey, SUD REGISTERED
• Jazlyn Lewandowski
• Roberta Jean Lewis-Goldfine
• Alana Lewis
• Brian Ellis Lewis

• All providers in Stockton, CA
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.