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CEDRIC R WALLER
NPI 1639824907
Nutritionist - Nutrition, Education in Kannapolis, NC

Active since February 15, 2022
171 ASHMOUNT DR, KANNAPOLIS, NC 28081(901) 491-5007 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cedric R Waller NPPES

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

CEDRIC R WALLER (NPI 1639824907) is an individual nutrition, education provider in Kannapolis, North Carolina and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1639824907
Entity TypeIndividualMale
Primary Taxonomy133NN1002X
Provider Legal NameCEDRIC R WALLER
Location Address171 ASHMOUNT DRKannapolis, NC 28081
Mailing Address171 Ashmount DrKannapolis, NC 28081 · (901) 491-5007
Phone(901) 491-5007
Sole ProprietorYes
Enumeration DateFebruary 15, 2022
NPPES CertifiedFebruary 1, 2022
✔ NPI 1639824907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
171 ASHMOUNT DR, Kannapolis, NC 28081
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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 Cedric Waller's NPI number?

The NPI number for Cedric Waller is 1639824907. It was assigned to this individual provider in the NPPES registry on February 15, 2022.

Where is Cedric Waller located?

Cedric Waller practices at 171 Ashmount Dr, Kannapolis, NC 28081. The listed phone number is (901) 491-5007.

What is Cedric Waller's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Cedric Waller was last updated on February 15, 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.