Active NPI
Rhonda L. Walton, RD CD LD
- Registered Dietitian
- Fort Wayne, IN
National Provider Identifier
1740226521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37001608A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 37001608A | IN | MD | Registered Dietitian |
| LD 5173 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Registered Dietitian
- Dublin, OH
- NPI 1972545507
Dietitian, Registered
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.