Active NPI
Tracey M Linneweber, RD, LD
- Registered Dietitian
- Worthington, IN
National Provider Identifier
1720430754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37003200A
- Practice address
- 4571 W Terre Haute Rd
Worthington, IN 47471-5209 - Phone
- (812) 699-9135
- NPI assigned
- Jul 1, 2016
- Last updated
- Apr 20, 2023
- 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 | 37003200A | IN | Primary |
Addresses
Primary practice location
4571 W Terre Haute Rd
Worthington, IN 47471-5209
Mailing address
4571 W Terre Haute Rd
Worthington, IN 47471-5209
Phone (812) 699-9135
Other practice location 1
210 E Main St
Worthington, IN 47471-1702
Phone (812) 699-9135
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tracey M. Linneweber | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
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": "1467331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1720430754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4571 W TERRE HAUTE RD",
"city": "WORTHINGTON",
"state": "IN",
"postal_code": "474715209",
"telephone_number": "812-699-9135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4571 W TERRE HAUTE RD",
"city": "WORTHINGTON",
"state": "IN",
"postal_code": "474715209",
"telephone_number": "812-699-9135"
}
],
"practiceLocations": [
{
"address_1": "210 E Main St",
"address_purpose": "LOCATION",
"city": "Worthington",
"state": "IN",
"postal_code": "474711702",
"country_code": "US",
"telephone_number": "812-699-9135",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINNEWEBER",
"first_name": "TRACEY",
"middle_name": "M",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-01",
"last_updated": "2023-04-20",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37003200A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worthington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.