Justin Walker · Registered Dietitian

1111 Elmwood Ave, Rochester, NY 14620-3005

Overview

Justin Walker is a Registered Dietitian practicing in Rochester, New York. The National Provider Identifier (NPI) is #1487510061, which was assigned on December 29, 2025, and the registration record was last updated on December 29, 2025. The practitioner's main practice location is at 1111 Elmwood Ave, Rochester, NY 14620-3005; the contact telephone number is 5852411200. The primary taxonomy of Justin Walker is Registered Dietitian (133V00000X). Justin Walker is licensed to practice in the state of New York (#86372789).

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.

Provider Information

NPI 1487510061
Entity Type Individual
Provider Name JUSTIN WALKER
Gender Male
Credential RDN
Practice Address 1111 Elmwood Ave
Rochester
NY 14620-3005
Practice Telephone 5852411200
Mailing Address 102 Winbourne Rd
Rochester
NY 14619-2425
Mailing Telephone 5858310367
Certification Date 2025-12-29
Enumeration Date 2025-12-29
Last Update Date 2025-12-29
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y133V00000XDietitian, Registered86372789NY

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Justin Walker 600 S 3rd St, Gadsden, AL 35901-5304Pharmacist2026-04-13

Taxonomy Information

Primary Taxonomy

Code 133V00000X
Taxonomy Registered Dietitian
Classification Dietitian, Registered
Grouping Dietary & Nutritional Service Providers
Definition: 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.
Notes: Source: Academy of Nutrition and Dietetics Definition of Terms List , Current Version, https://www.eatrightpro.org/practice/quality-management/scope-of-practice [7/1/2019:modified definition]

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Provider NameAddressTaxonomyEnumeration Date
Shane Braden 100 Tropea Aisle, Irvine, CA 92606-0858Registered Dietitian2026-05-08
Kelsey Kinderknecht East 230 Powder House Blvd, Somerville, MA 02144-1531Registered Dietitian2026-05-08
Joyce Liang 117 5th St, Hicksville, NY 11801-5411Registered Dietitian2026-05-09
Cheryl Maciorakowski 289 Main St Fl 3, Greenfield, MA 01301-3203Registered Dietitian2026-05-07
Nabi Medical Pa 390 Ne 191st St Ste 77460, Miami, FL 33179-3899Registered Dietitian2026-05-08
Karen Paola Escobedo 3724 Jefferson St Ste 104, Austin, TX 78731-6204Registered Dietitian2026-05-09
Kathleen Mary Cetera 3250 W 66th St Apt 548, Edina, MN 55435-5514Registered Dietitian2026-05-08
Debra Ann Graham 9166 Sw 60th Court Rd, Ocala, FL 34476-8783Registered Dietitian2026-05-08
Jennifer Fong 275 W Macarthur Blvd, Oakland, CA 94611-5641Registered Dietitian2026-05-08
Chaeeun Lee 3724 Jefferson St Ste 104, Austin, TX 78731-6204Registered Dietitian2026-05-07
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Location Information

Street Address 1111 ELMWOOD AVE
City ROCHESTER
State NY
Zip Code 14620-3005
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Taylor Marie Pasquaie 1111 Elmwood Ave, Rochester, NY 14620Occupational Therapy Assistant2025-01-17
Nys Office of Mental Health 1111 Elmwood Ave, Rochester, NY 14620-3005Adolescent and Children Mental Health Clinic/Center2006-12-22
Brianna Corbit 1111 Elmwood Ave, Rochester, NY 14620-3005Psychiatric/Mental Health Registered Nurse2024-11-18
Brooke Elizabeth Ogilvie-Markham 1111 Elmwood Ave, Rochester, NY 14620-3005Registered Nurse2025-02-03
David Julian Goodsell 1111 Elmwood Ave, Rochester, NY 14620-3005Psychiatric/Mental Health Registered Nurse2025-06-04
Christine Carroll 1111 Elmwood Ave, Rochester, NY 14620-3005Registered Nurse2024-11-19
Favour Benson 1111 Elmwood Ave, Rochester, NY 14620-3005Psychiatric/Mental Health Registered Nurse2025-02-03
Tracy Jordan Hammond 1111 Elmwood Ave, Rochester, NY 14620-3005Registered Nurse2025-11-24
Heather Moses 1111 Elmwood Ave, Rochester, NY 14620Speech-Language Pathologist2025-08-28
Shae Cody 1111 Elmwood Ave, Rochester, NY 14620Occupational Therapy Assistant2025-02-06
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Karen Ann Wygal Nys/Omh Rochester Psyc. Center, 1111 Elmwood Ave, Rochester, NY 14620-3005Adult Psychiatric/Mental Health Registered Nurse2018-01-01

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Latandrea Wright 1641 South Ave, Rochester, NY 14620Registered Nurse2015-10-15
Jeremy Matthias Ramos 777 South Clinton Ave, Rochester, NY 14620Clinical Psychologist2023-06-26
Jennie Lynne Delang 1000 Elmwood Ave., 100, Rochester, NY 14620School Registered Nurse2016-09-01
Terri Ryan Sullivan Monroe Community Hospital, 435 E Henrietta Rd, Rochester, NY 14620Dental Hygienist2024-10-01
Mary Dalgi Nowak 110 Crittenden Blvd, Rochester, NY 14620Medical Physician Assistant2021-09-27
Tabitha Domonique Griffin 55 Forthill Terrace, Rochester, NY 14620Licensed Practical Nurse2018-11-13
Adrianna Plaza 647 Elmwood Terrace, Rochester, NY 14620Licensed Practical Nurse2024-02-15
Nicole Elizabeth Stirpe-Mills 125 Lattimore Road (East Entrance), Rochester, NY 14620Registered Nurse2025-04-25
Christopher Matthew Rumiano Department of Public Health, 111 Westfall Rd, Rochester, NY 14620Case Manager/Care Coordinator2021-07-09
Kendall Battle 479 South Ave Apt B, Rochester, NY 14620Licensed Practical Nurse2017-05-10
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.