CALLAN E WALL (NPI# 1932585957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932585957 |
Entity Type | Individual |
Full Name | CALLAN E WALL |
Credential | RD, LDN |
Practice Address |
5405 Carolyn Dr Wilmington NC 28409-5913 |
Mailing Address |
1505 Medical Center Dr Wilmington NC 28401-7507 |
Practice Telephone | 9192448234 |
Practice Fax Number | 8778892993 |
Mailing Telephone | 9102393562 |
Mailing Fax Number | 8778892993 |
Enumeration Date | 2015-07-31 |
Last Update Date | 2020-09-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
Y | 133V00000X | Dietitian, Registered | L004679 | NC | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CDR | 86056016 | 01 |
Street Address |
5405 CAROLYN DR |
City | WILMINGTON |
State | NC |
Zip Code | 28409-5913 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952916728 | Emily Savannah Holland | Specialist/Technologist | 1150 King's Hwy, Wilmington, NC 28409 | 2020-09-09 |
1912373465 | Thomas Malenfant | Hearing Instrument Specialist | 474 New Centre Drive, #6, Wilmington, NC 28409 | 2015-08-19 |
1720482862 | Leslie Morton Garris | Pharmacist | 6013 Chancellorville Drive, Wilmington, NC 28409 | 2014-10-17 |
1659621720 | Charles Warren Moorehead | Social Worker | 5710 Oleander Dr. Suite 208, Wilmington, NC 28409 | 2012-09-14 |
1992972020 | Nancy Beth Kotz | Social Worker | 6211 Terrapin Ct, Wilmington, NC 28409 | 2008-05-08 |
1366611089 | Michael Royce Penland | Psychologist | 5002-1 Hewletts Run, Wilmington, NC 28409 | 2008-02-27 |
1184755092 | Keith W Mann | Dentist | 818-101 Pine Grove Drive, Wilmington, NC 28409 | 2007-03-09 |
1477650554 | Jeffrey Beecham Chick | Specialist | 1201 Porches Dr, Suite 2, Wilmington, NC 28409 | 2006-09-20 |
1407964067 | Richard A. Lally | Counselor | 5425 Golden Eagle Court, Wilmington, NC 28409 | 2006-08-25 |
1598290520 | Monaca Lachman | Counselor | 6020 Leeward Ln, Wilmington, NC 28409-0129 | 2017-04-27 |
Find all providers in zip 28409 |
Taxonomy Code | 133V00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659978245 | Jaclyn Lee Atwater | Dietitian, Registered | 415 Yucca Ln, Wilmington, NC 28412-1042 | 2020-10-06 |
1912521626 | Kenneth Jefferson Allen IIi | Dietitian, Registered | 2106 Barnett Ave, Wilmington, NC 28403-2240 | 2020-05-29 |
1720600729 | Melissa Buscetta | Dietitian, Registered | 4647 Fairview Dr Apt 328, Wilmington, NC 28412-3684 | 2020-05-12 |
1285270207 | Ruby Ali | Dietitian, Registered | 115 Amberleigh Dr Apt 206, Wilmington, NC 28411-9810 | 2019-11-25 |
1184280158 | Melissa Danielle Flynn | Dietitian, Registered | 4702 Bentley Dr, Wilmington, NC 28409-6958 | 2019-05-15 |
1013424126 | Kyrstin Brianna Draney | Dietitian, Registered | 5129 Oleander Dr Ste 103, Wilmington, NC 28403-7062 | 2018-01-10 |
1588191225 | Rachael Swartz | Dietitian, Registered | 3305 Burnt Mill Dr Ste 100, Wilmington, NC 28403-3067 | 2017-05-12 |
1235663014 | April Callahan | Dietitian, Registered | 2 Kristina Ct, Wilmington, DE 19808-4063 | 2017-04-18 |
1518416205 | Nancy Lois Angell | Dietitian, Registered | 114 Kenneth Ct, Wilmington, NC 28405-1307 | 2016-09-23 |
1891163218 | Stefanie Weiner | Dietitian, Registered | 919 Cloister Rd, Apt E, Wilmington, DE 19809-1018 | 2015-09-02 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 28409 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.