Organization Active NPI

The Online Dietitian, LLC

  • Registered Dietitian
  • Battle Ground, IN
National Provider Identifier
1609698638
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
THE ONLINE DIETITIAN, LLC
Doing business as
The Online Dietitian, LLC
Practice address
1204 E 900 N
Battle Ground, IN 47920-9403
Phone
(574) 292-0401
NPI assigned
Oct 30, 2024
Last updated
Oct 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Amanda C Ahlenius, RD, LDNPI 1114575826
Title
Registered Dietitian
Phone
(574) 292-0401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

1204 E 900 N
Battle Ground, IN 47920-9403

Mailing address

1204 E 900 N
Battle Ground, IN 47920-9403
Phone (574) 292-0401

Other names 1

  • The Online Dietitian, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1609698638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 E 900 N",
            "city": "BATTLE GROUND",
            "state": "IN",
            "postal_code": "479209403",
            "telephone_number": "574-292-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 E 900 N",
            "city": "BATTLE GROUND",
            "state": "IN",
            "postal_code": "479209403",
            "telephone_number": "574-292-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ONLINE DIETITIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "AHLENIUS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "574-292-0401",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Online Dietitian, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Battle Ground, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.