IndividualActive
Connie Wildt, RD,LD
NPI 1356583504 · Registered Dietitian · St. Louis, MO
Provider details
- NPI number
- 1356583504
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD,LD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2001024181 (MO)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES 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
615 S. New Ballas Rd
St. Louis, MO 63141-8221
Phone: (314) 251-4998
Fax: (314) 251-7247
Street-level locationGet directions
Mailing address
615 S. New Ballas Road
St. Louis, MO 63141-8277
Registry dates
- Enumerated
- 2009-04-02
- Last updated
- 2009-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.