McKenzie Dunham, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

37003133A Issued in IN

Practice address

2250 W County Road 1270 N
Muncie, IN 47303-9721

Phone

(765) 748-8435

NPI assigned

Dec 8, 2019

Last updated

Sep 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1575763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1497392583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 W COUNTY ROAD 1270 N",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473039721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 W COUNTY ROAD 1270 N",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473039721",
            "telephone_number": "765-748-8435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7240 Shadeland Sta Ste 200",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462563968",
            "country_code": "US",
            "telephone_number": "317-621-2677",
            "fax_number": "317-621-2676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "MCKENZIE",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-08",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37002454A",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37003133A",
            "primary": true
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "MD",
            "license": "DX4545",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.teladoc.com/",
            "affiliation": "N",
            "address_1": "2250 W County Road 1270 N",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473039721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Penelope Susan Dunbar, R.D., C.D.
• Joseph C Duncan, MD
• Katlin Nicole Duncan, NP
• Dungarvin Indiana, LLC
• Dungarvin Indiana, LLC
• James Lloyd Dunn, MD
• Karen Lynn Dunn, REGISTERED NURSE
• Lauren Elizabeth Dunn, M.A., R.D., C.D.
• John P Durbin, M.D.
• Haley Marie Durham

• Registered Dietitian in Muncie, IN
• Providers in Muncie, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.