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MR. ANTHONY WILLERT LD RD NPI 1417313826


NPI Information

NPI: 1417313826
Provider Name: MR. ANTHONY WILLERT, LD, RD
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
85 WEST HIGHWAY 22
SANTO DOMINGO PUEBLO, NM
ZIP 87052
Phone: (505) 465-3060
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MR. Anthony Willert, LD, RD is a dietitian registered in Santo Domingo Pueblo, NM with 24 years of experience. The provider is 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. MR. Anthony Willert, LD, RD NPI is 1417313826. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

85 WEST HIGHWAY 22
SANTO DOMINGO PUEBLO, NM
ZIP 87052
Phone: (505) 465-3060
Fax: (505) 465-1191

The enumeration date for this NPI number is 1/14/2016 and was last updated on 1/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredLD-1043NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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