Individual provider Active NPI

Tiffany Rochelle Waldner, MS, RDN, LD

  • Registered Dietitian
  • Olathe, KS
National Provider Identifier
1518769215
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3269 Issued in KS
Practice address
18101 W 119TH St
Olathe, KS 66061-9532
Phone
(515) 695-3223
Fax
(833) 719-1241
NPI assigned
Mar 25, 2025
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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 3269 KS Primary

Addresses

Primary practice location

18101 W 119TH St
Olathe, KS 66061-9532

Mailing address

18101 W 119TH St
Olathe, KS 66061-9532
Phone (515) 695-3223

Other practice location 1

14955 W 151st St
Olathe, KS 66062-3110
Phone (515) 695-3223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250412000187 KS Practitioner - Registered Dietitian Or Nutrition Professional 3173047040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hy Vee Health of Kansas, PAGroup PAC ID 2567990534, 5 clinicians

Practice addresses (Care Compare)

3504 Clinton Pkwy
Lawrence, KS 66047-2145
Phone (515) 695-3121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3269KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hy Vee Health of Kansas PA CurrentSince Mar 24, 2025 Accepting new patients
Hy Vee Health of Kansas PA Dietitian, Registered CurrentSince Mar 24, 2025 Accepting new patients
Hy-Vee Inc PastSince Mar 30, 2025 Accepting new patients
Hy-Vee Health PC Past Accepting new patients
Hy-Vee Inc PastSince Mar 30, 2025 Accepting new patients

Locations

5820 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 453-2784

3504 Clinton Pkwy
Lawrence, KS 66047
Phone (785) 832-0044

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1518769215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18101 W 119TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660619532",
            "telephone_number": "515-695-3223",
            "fax_number": "833-719-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 W 119TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660619532",
            "telephone_number": "515-695-3223",
            "fax_number": "833-719-1241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14955 W 151st St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660623110",
            "country_code": "US",
            "telephone_number": "515-695-3223",
            "fax_number": "833-719-1241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDNER",
        "first_name": "TIFFANY",
        "middle_name": "ROCHELLE",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "3269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.