IndividualActive
Kirby Walter, RD, CLC
NPI 1780142489 · Registered Dietitian · Chicago, IL
Provider details
- NPI number
- 1780142489
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, CLC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Lactation Consultant (Non-RN)174N00000X
Other Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% 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
3817 N Central Park Ave
Chicago, IL 60618-4102
Phone: (312) 502-3345
Street-level locationGet directions
Mailing address
3817 N Central Park Ave
Chicago, IL 60618-4102
Registry dates
- Enumerated
- 2019-03-12
- Last updated
- 2019-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.