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MEDICAL NUTRITIONAL THERAPISTS, INC
NPI 1619919263
Dietitian, Registered in Fort Wayne, IN

Active since June 11, 2006
4210 FLAGSTAFF CV, FORT WAYNE, IN 46815(260) 489-9009(260) 489-5057 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Medical Nutritional Therapists, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL NUTRITIONAL THERAPISTS, INC (NPI 1619919263) is a healthcare organization registered as a dietitian, registered in Fort Wayne, Indiana and active in the NPI registry since June 2006. The organization lists James A Holb, Vice President/owner, as its authorized official.

NPPES Registry Identity

NPI1619919263
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameMEDICAL NUTRITIONAL THERAPISTS, INC
Location Address4210 FLAGSTAFF CVFort Wayne, IN 46815-4417
Mailing Address4210 Flagstaff CvFort Wayne, IN 46815-4417 · (260) 489-9009 · Fax (260) 489-5057
Phone(260) 489-9009
Fax(260) 489-5057
Organization SubpartNo
Authorized OfficialJames A HolbVice President/owner · (260) 489-9009
Enumeration DateJune 11, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1619919263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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 the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
4210 FLAGSTAFF CV, Fort Wayne, IN 46815
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Other Identifiers 1

Medicaid2465612OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAVERNE A SULLIVAN RD
Dietitian, Registered
4210 FLAGSTAFF CV
FORT WAYNE, IN 46815
Allen County (260) 489-9009
MRS. KATHERINE R CAPEN RD LD
Dietitian, Registered
4210 FLAGSTAFF CV
FORT WAYNE, IN 46815
Allen County (260) 489-9009
BONNIE L. GUNCKEL RD LD
Dietitian, Registered
4210 FLAGSTAFF CV
FORT WAYNE, IN 46815
Allen County (260) 489-9009
KINDRED ANGELS LLC
Hospice Care, Community Based
4210 FLAGSTAFF CV
FORT WAYNE, IN 46815
Allen County (260) 602-0977
PEI ENG BURNS RD CD
Dietitian, Registered
4210 FLAGSTAFF CV
FORT WAYNE, IN 46815
Allen County (260) 489-9009
KAREN S WILKINSON MS,RD,LD,CD
Dietitian, Registered
4210 FLAGSTAFF CV
FORT WAYNE, IN 46815
Allen County (260) 489-9009
JAMES A HOLB RD,LD,CDE
Dietitian, Registered (Nutrition, Renal)
4210 FLAGSTAFF CV
FORT WAYNE, IN 46815
Allen County (260) 489-9009

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Nutritional Therapists, Inc's NPI number?

The NPI number for Medical Nutritional Therapists, Inc is 1619919263. It was assigned to this organization in the NPPES registry on June 11, 2006.

Where is Medical Nutritional Therapists, Inc located?

Medical Nutritional Therapists, Inc is located at 4210 Flagstaff Cv, Fort Wayne, IN 46815. The listed phone number is (260) 489-9009.

What is Medical Nutritional Therapists, Inc's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Medical Nutritional Therapists, Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.