REIDENBACH NUTRITION, LLC
NPI 1922377423
Dietitian, Registered in Fort Wayne, IN

Active since December 29, 2011
6522 CONSTITUTION DR, FORT WAYNE, IN 46804(260) 433-3877(260) 755-5731 Get Directions Write a Review

NPPES record last updated: December 29, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dietitian, Registered

About REIDENBACH NUTRITION, LLC

This page provides the complete NPI Profile along with additional information for Reidenbach Nutrition, Llc, a provider established in Fort Wayne, Indiana operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1922377423 assigned on December 2011. The practitioner's primary taxonomy code is 133V00000X with license number 37000578A (IN). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ann Reidenbach Rd, Cd (President)

NPI
1922377423 Verify this NPI
Provider Name
REIDENBACH NUTRITION, LLC
Entity Type
Organization
Location Address
6522 CONSTITUTION DR FORT WAYNE, IN 46804
Location Phone
(260) 433-3877
Location Fax
(260) 755-5731
Mailing Address
6522 CONSTITUTION DR FORT WAYNE, IN 46804
Mailing Phone
(260) 433-3877
Mailing Fax
(260) 755-5731
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-29-2011
Last Update Date
12-29-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
37000578A
License State
IN
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANN REIDENBACH RD, CD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(260) 433-3877

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dietitian, Registered
6522 CONSTITUTION DR
FORT WAYNE, IN 46804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922377423, enumerated as an "organization" on December 29, 2011.

The provider is located at 6522 CONSTITUTION DR FORT WAYNE, IN 46804 and the phone number is (260) 433-3877.

Dietitian, Registered with taxonomy code 133V00000X.