Valerie Lynn Polley, RDN, CD
Individual provider Active NPI Registered Dietitian · Carmel, IN
NPI 1619321973 · NPPES record last updated Apr 22, 2016
Key facts
- NPI
- 1619321973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 37001243A (IN)
- Practice address
- 13654 Fieldshire Ter
Carmel, IN 46074-8238 - Phone
- (410) 963-4782
- NPI assigned
- Apr 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4582 NW Plaza W Dr
Suite 11
Zionsville, IN 46077-9270
Phone (410) 963-4782
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200629002872 | IN | Practitioner - Registered Dietitian Or Nutrition Professional | 7113349622 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Tree Nutrition | Dietitian, Registered | Current |
Accepting new patients |
Locations
4582 NW Plaza West Dr
Ste 11
Zionsville, IN 46077
Phone (410) 963-4782
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 37001243A | IN | Yes |
Addresses
Primary practice location
13654 Fieldshire Ter
Carmel, IN 46074-8238
Mailing address
13654 Fieldshire Ter
Carmel, IN 46074-8238
Phone (410) 963-4782
Other providers in Carmel, IN
- PMGG, LLC
- Christine Nicole Poe
- Dana Poirier
- Carol Polhamus
- Kylene Ann Polhamus
- Kelly Pollock
- Carolyn M. Ponder
- Narmada Popuri
- David A Porter
- Positive ABA Solutions, LLC.
All providers in Carmel, IN · Registered Dietitian in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.