Active NPI
Jacquelyn Susan Walther
- Registered Dietitian
- Barnegat, NJ
National Provider Identifier
1700596129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1 Fresno St
Barnegat, NJ 08005-2509 - Phone
- (540) 878-6895
- NPI assigned
- Nov 28, 2022
- Last updated
- Nov 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
1 Fresno St
Barnegat, NJ 08005-2509
Mailing address
1 Fresno St
Barnegat, NJ 08005-2509
Phone (540) 878-6895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19 W 24TH St
FL 4
New York, NY 10010-3239
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1669593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1700596129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FRESNO ST",
"city": "BARNEGAT",
"state": "NJ",
"postal_code": "080052509",
"telephone_number": "540-878-6895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FRESNO ST",
"city": "BARNEGAT",
"state": "NJ",
"postal_code": "080052509",
"telephone_number": "540-878-6895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTHER",
"first_name": "JACQUELYN",
"middle_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-28",
"last_updated": "2022-11-28",
"certification_date": "2022-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barnegat, NJ
- Jennifer Vickery, PT
- Paige Virgin, AS
- Marissa Lynn Volinsky, LPC
- Walgreen Co (Walgreens #09503)
- Walgreen Co (Rite Aid #19817)
- Wayne Allan Wedderman Jr., ATC
- Courtney Ann Werner, PT
- Whitepoint Oral Surgery (Barnegat Oral Surgery)
- William J. Campagnolo (Barnegat Family Chiropractic Center)
- Brittany Wissel, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.