What is Ethan Waller's NPI number?

Ethan Waller's National Provider Identifier (NPI) is 1306728936, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Waller's specialty?

Ethan Waller is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).

Where is Ethan Waller located?

Ethan Waller's practice location on file with NPPES is 311 S Lasalle St Apt 35a, Durham, NC 27705-3678.

What is Ethan Waller's phone number?

The practice phone number listed in the NPPES registry for Ethan Waller is (910) 508-8661.

Is Ethan Waller's NPI active?

Yes — Ethan Waller's NPI (1306728936) is active in the NPPES registry as of the last update on 2025-07-24.

IndividualActive

Ethan Waller, RD, LDN

NPI 1306728936 · Registered Dietitian · Durham, NC

Ethan Waller, RD, LDN is a Registered Dietitian provider in Durham, NC (NPI 1306728936).

Provider details

NPI number: 1306728936
Entity type: Individual
Primary specialty: Registered DietitianDietary & Nutritional Service Providers
Credential: RD, LDN
Sex: Male
Sole proprietor: No
License: 86432056 (NC)

Specialties & taxonomies

Registered DietitianPrimary133V00000XLicense 86432056 (NC)
Dietary & Nutritional Service Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

311 S Lasalle St Apt 35a

Durham, NC 27705-3678

Phone: (910) 508-8661

Street-level locationGet directions

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Mailing address