Linda Bacon Walters in Johnson City - Dietitian, Registered
Linda Bacon Walters - NPI 1407995392
Linda Bacon Walters is a Dietitian, Registered in Johnson City, Tennessee. Linda Bacon Walters practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Linda Bacon Walters is 1407995392. The last update date is 2007-07-09.
Linda Bacon Walters's current location address is 4122 Bradford Ln, Johnson City, Tennessee. You can contact this provider via phone number 4232620462 and fax number 4234316060. The mailing address for Linda Bacon Walters is 4122 Bradford Ln, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Linda Bacon Walters |
|---|---|
| Address | 4122 Bradford Ln, Johnson City, Tennessee |
| Phone Number | 4232620462 |
| Fax Number | 4234316060 |
| Sole Proprietor | Y |
| Credentials | R.D. |
NPI Number Detail
| NPI Number | 1407995392 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4122 Bradford Ln |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376011065 |
| Phone Number | 4232620462 |
| Fax Number | 4234316060 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | LDN000000130 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00B29 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Linda Bacon Walters by the Centers for Medicare & Medicaid Services?
The Linda Bacon Walters has been assigned the NPI (National Provider Identifier) 1407995392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Linda Bacon Walters is physically located?
The Linda Bacon Walters is physically situated at the following address: 4122 Bradford Ln, Johnson City, TN, 376011065.
What is the Linda Bacon Walters's specialty and taxonomy code?
The Linda Bacon Walters's specialty is Dietitian, Registered, and the corresponding taxonomy code is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1407995392 to Linda Bacon Walters?
The Centers for Medicare & Medicaid Services assigned the 1407995392 to Linda Bacon Walters on 2007-02-06.
When was the Linda Bacon Walters's information last updated?
The Linda Bacon Walters's information was last updated on 2007-07-09.