Individual provider Active NPI

Rhonda L. Walton, RD CD LD

  • Registered Dietitian
  • Fort Wayne, IN
National Provider Identifier
1740226521
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
37001608A Issued in IN
Practice address
5927 Justin Dr
Fort Wayne, IN 46835-2517
Phone
(260) 485-1410
Fax
(574) 267-2406
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 37001608A IN Primary
Registered Dietitian 133V00000X LD 5173 OH

Addresses

Primary practice location

5927 Justin Dr
Fort Wayne, IN 46835-2517

Mailing address

5927 Justin Dr
Fort Wayne, IN 46835-2517
Phone (260) 485-1410

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
37001608AINMDRegistered Dietitian
LD 5173OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Nutritional Therapists, Inc. Dietitian, Registered Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1740226521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5927 JUSTIN DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468352517",
            "telephone_number": "260-485-1410",
            "fax_number": "574-267-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5927 JUSTIN DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468352517",
            "telephone_number": "260-485-1410",
            "fax_number": "574-267-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "RHONDA",
        "middle_name": "L.",
        "credential": "RD CD LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37001608A",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD 5173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.