KEVIN PETER WALTON MS, RD, LDN, CNSC
NPI 1629842125
Dietitian, Registered in Boston, MA

Active since November 14, 2023

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 16, 2026, Nov 14, 2023 (2 updates tracked since 2023).

About Kevin Peter Walton Ms, Rd, Ldn, Cnsc NPPES

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

KEVIN PETER WALTON MS, RD, LDN, CNSC (NPI 1629842125) is an individual dietitian, registered in Boston, Massachusetts, licensed in (86068323) and active in the NPI registry since November 2023. He maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1629842125
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameKEVIN PETER WALTONCredential: MS, RD, LDN, CNSC
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address105 Summer St Apt 105Malden, MA 02148-2539 · (203) 804-4127
Sole ProprietorNo
Enumeration DateNovember 14, 2023
Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
NPI 1629842125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed · 86068323
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.

55 FRUIT ST, Boston, MA 02114

Secondary Practice Location 1

Location 115 Parkman StBoston, MA 02114-3117 · Phone (617) 726-5523

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Gastroenterology)
55 FRUIT ST
BOSTON, MA 02114
Psychiatry & Neurology (Psychiatry)
55 FRUIT ST, WARREN 1220
BOSTON, MA 02114
Internal Medicine (Gastroenterology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine
55 FRUIT ST, 4710B
BOSTON, MA 02114
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 FRUIT ST, BUL 119
BOSTON, MA 02114
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 FRUIT ST, MGH, BULFINCH 2
BOSTON, MA 02114
Urology
55 FRUIT ST, GRB 1102
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, CLN 3
BOSTON, MA 02114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629842125, enumerated as an "individual" on November 14, 2023.

The provider is located at 55 FRUIT ST BOSTON, MA 02114 and the phone number is (617) 726-2000.

Dietitian, Registered with taxonomy code 133V00000X.