Active NPI
Janelle Couture, RDN, CD
- Registered Dietitian
- Fort Wayne, IN
National Provider Identifier
1851775720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1103410
- Practice address
- 2927 Lake Ave
Fort Wayne, IN 46805-5415 - Phone
- (260) 745-1200
- Fax
- (260) 745-5968
- NPI assigned
- Jul 10, 2015
- 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 | 1103410 | IN | Primary |
Addresses
Primary practice location
2927 Lake Ave
Fort Wayne, IN 46805-5415
Mailing address
3015 Whitegate Dr
Fort Wayne, IN 46805-2440
Phone (260) 341-9440
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 |
|---|---|---|---|
| 1103410 | IN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438905600000",
"number": "1851775720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 WHITEGATE DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468052440",
"telephone_number": "260-341-9440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2927 LAKE AVE",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468055415",
"telephone_number": "260-745-1200",
"fax_number": "260-745-5968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUTURE",
"first_name": "JANELLE",
"credential": "RDN, CD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-10",
"last_updated": "2015-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "1103410",
"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 Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.