Active NPI
Christa W Lenz, RD
- Registered Dietitian
- Ludington, MI
National Provider Identifier
1457524019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1 N Atkinson Dr
Ludington, MI 49431-1906 - Phone
- (231) 845-2369
- NPI assigned
- Apr 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
1 N Atkinson Dr
Ludington, MI 49431-1906
Mailing address
1022 N Sherman St
Ludington, MI 49431-1531
Phone (231) 690-2317
Other names 1
- Christa L Willson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sodexo Operations LLC | Dietitian, Registered | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207180800000",
"number": "1457524019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 N SHERMAN ST",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494311531",
"telephone_number": "231-690-2317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 N ATKINSON DR",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494311906",
"telephone_number": "231-845-2369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENZ",
"first_name": "CHRISTA",
"middle_name": "W",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-03",
"last_updated": "2008-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTA",
"last_name": "WILLSON",
"middle_name": "L",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ludington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.