Individual provider Active NPI

Lauren Ann Walega, RD

  • Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1740770817
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86025611 Issued in PA
Practice address
127 N 21St St Apt 3R
Philadelphia, PA 19103-1406
Phone
(570) 780-0069
NPI assigned
May 15, 2018
Last updated
May 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 86025611 PA Primary

Addresses

Primary practice location

127 N 21St St Apt 3R
Philadelphia, PA 19103-1406

Mailing address

127 N 21St St Apt 3R
Philadelphia, PA 19103-1406
Phone (570) 780-0069

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
86025611PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Aligned Health & Wellness LLC Dietitian, Registered PastSince Apr 1, 2024 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": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1740770817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N 21ST ST APT 3R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031406",
            "telephone_number": "570-780-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N 21ST ST APT 3R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031406",
            "telephone_number": "570-780-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALEGA",
        "first_name": "LAUREN",
        "middle_name": "ANN",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "86025611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.