Individual provider Active NPI

Krista Wale, RD, LDN

  • Registered Dietitian
  • Baton Rouge, LA
National Provider Identifier
1669254876
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1765 Oneal LN # 449
Baton Rouge, LA 70816-1633
Phone
(225) 828-8393
NPI assigned
Oct 23, 2023
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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 Primary

Addresses

Primary practice location

1765 Oneal LN # 449
Baton Rouge, LA 70816-1633

Mailing address

1765 Oneal LN # 449
Baton Rouge, LA 70816-1633
Phone (225) 828-8393

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

State licenses

LicenseStateTypeSpecialty
3696LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Nutrition Associates LLC CurrentSince Oct 23, 2023 Accepting new patients
Nutrient Dense Nutrition LLC Dietitian, Registered PastSince Dec 17, 2023 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

1765 Oneal Ln
Baton Rouge, LA 70816
Phone (225) 443-3468

Organizations & group practices 3

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": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1669254876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 ONEAL LN # 449",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161633",
            "telephone_number": "225-828-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 ONEAL LN # 449",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161633",
            "telephone_number": "225-828-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALE",
        "first_name": "KRISTA",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.