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Active NPI 1023045200 Individual Practitioner Female Practitioner

Laverne A Sullivan , RD

Dietitian, Registered • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Laverne Sullivan, RD is a registered healthcare professional specializing in Dietitian, Registered in Fort Wayne, IN. Practice services are available at 4210 FLAGSTAFF CV under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4210 Flagstaff Cv

Fort Wayne, IN 468154417

Telephone 2604899009
Fax 2604895057
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.5 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
122 Specialists

Practicing in Fort Wayne, IN (1231 Statewide)

Telehealth Adoption Rate
1.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License IN 37000748A

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Katherine Capen , RD LD

Dietitian, Registered

NPI 1023050648

RDLD

Bonnie Gunckel , RD LD

Dietitian, Registered

NPI 1053353458

RDLD

Jennifer Schnipke , RD LD

Dietitian, Registered

NPI 1124055207

RDLD

Katrina Keim , RD LD

Dietitian, Registered

NPI 1154357119

RDLD

Pei Burns , RD CD

Dietitian, Registered

NPI 1164466900

RDCD

NPI 1275569295

Master of Science, Registered Dietitian, Licensed Dietitian, CD

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 01, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2014

Registered at 4210 FLAGSTAFF CV, FORT WAYNE, IN 468154417 (Tel: 2604899009)

📍
Updated Business Mailing Address July 01, 2014

Registered at 5244 JEFFRIES LANE, NEWBURGH, IN 47630 (Tel: 8124541710)

👤
Provider Name / Credentials Updated July 01, 2014

Recorded as LAVERNE SULLIVAN, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2014

Dietitian, Registered (License #37000748A in IN)

🟢
Initial NPI Registration & Enumeration June 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023045200
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2006
Last Update: July 01, 2014
Sole Proprietor: No

Mailing Address

5244 Jeffries Lane

Newburgh, IN 47630

Phone: 8124541710

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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