Individual provider Active NPI

Kaitlyn Marie Walch, RDN, LDN, MBA

  • Registered Dietitian
  • Scottdale, PA
National Provider Identifier
1710758982
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN007789 Issued in PA
Practice address
3551 Kings Hill Rd
Scottdale, PA 15683-2507
Phone
(724) 887-0504
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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 DN007789 PA Primary

Addresses

Primary practice location

3551 Kings Hill Rd
Scottdale, PA 15683-2507

Mailing address

3551 Kings Hill Rd
Scottdale, PA 15683
Phone (724) 550-5041

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)
Not enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
DN007789PAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1710758982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 KINGS HILL RD",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "15683",
            "telephone_number": "724-550-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 KINGS HILL RD",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156832507",
            "telephone_number": "724-887-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCH",
        "first_name": "KAITLYN",
        "middle_name": "MARIE",
        "credential": "RDN, LDN, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN007789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.