Individual provider Active NPI

Courtney Rinehold, R.D., C.D.

  • Renal Nutrition Registered Dietitian
  • Fort Wayne, IN
National Provider Identifier
1750623591
Registry record updated Apr 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
37001842A Issued in IN
Practice address
1607 Glacier Ridge Rd
Fort Wayne, IN 46845-9720
Phone
(260) 494-7235
NPI assigned
Mar 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2013

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 37001842A IN
Renal Nutrition Registered Dietitian 133VN1005X 37001842A IN Primary

Addresses

Primary practice location

1607 Glacier Ridge Rd
Fort Wayne, IN 46845-9720

Mailing address

1607 Glacier Ridge Rd
Fort Wayne, IN 46845-9720
Phone (260) 494-7235

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

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367107200000",
    "number": "1750623591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 GLACIER RIDGE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468459720",
            "telephone_number": "260-494-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 GLACIER RIDGE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468459720",
            "telephone_number": "260-494-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINEHOLD",
        "first_name": "COURTNEY",
        "credential": "R.D., C.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37001842A",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "IN",
            "license": "37001842A",
            "primary": true
        }
    ],
    "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 28, 2013; 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.