Walsh Nutrition Group, Inc.

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

164002859 Issued in IL

Legal business name

WALSH NUTRITION GROUP, INC.

Practice address

1333 Burr Ridge Pkwy Ste 200
Burr Ridge, IL 60527-0833

Phone

(630) 308-8706

NPI assigned

Jun 15, 2018

Organization subpart

No

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

Authorized official

Name

Laura Walsh, RDN, LDN, CPTNPI 1639663412

Title

President

Phone

(630) 308-8706

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Walsh, LDN, RDN, CPT

  • Metabolic Nutrition Registered Dietitian
  • Burr Ridge, IL
  • NPI 1639663412

  Nutrition, Metabolic

  Medicare reassignment NPD Authorized official
• Laura Cason

  • Registered Dietitian
  • Chicago, IL
  • NPI 1063870327
  NPD (past)
• Julianne Downes, RD

  • Registered Dietitian
  • Chicago, IL
  • NPI 1376094102
  NPD (past)
• Marissa Elaine Kelley, RD, CDCES, NBC-HWC

  • Registered Dietitian
  • Glen Ellyn, IL
  • NPI 1942010178
  NPD (past)
• Dana Katherine Roscoe, MS, RDN LD

  • Registered Dietitian
  • Dayton, OH
  • NPI 1750075537
  NPD (past)

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1992299788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 S ASHLAND AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252817",
            "telephone_number": "630-308-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 BURR RIDGE PKWY STE 200",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270833",
            "telephone_number": "630-308-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALSH NUTRITION GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-308-8706",
        "authorized_official_credential": "RDN, LDN, CPT"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "IL",
            "license": "164002859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vpa PC
• Vpa PC
• Vpa PC
• Linda C Wagner-Weiner, MD
• David W. Waitley, MD
• Laura Walsh, LDN, RDN, CPT
• Leonard Wanta, PT
• R Parker Ward, MD
• Brooklyn Washington, DC
• Irving Waxman, MD

• Metabolic Nutrition Registered Dietitian in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Metabolic Nutrition Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.