Casey Mast Wallner, RD, LD
Dietitian, Registered in Newport, OR. Individual provider (NPI-1).
NPI number1104246024
StatusActive
Last updated in NPPESSep 23, 2021
Details
- NPI
- 1104246024
- Entity type
- Individual (NPI-1)
- Name
- Casey Mast Wallner
- Credential
- RD, LD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2014
- Certification date
- Sep 23, 2021
- Last updated
- Sep 23, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONA
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | ldd10158382 | OR | Yes |
Other names
- Casey Lynn Mast (Former Name)
Practice location
5280 Ne Shell World PlNewport, OR 97365-1246
Phone 541-579-1823
Mailing address
5280 Ne Shell World PlNewport, OR 97365-1246
Phone 541-579-1823 · Fax 541-833-5005
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Registered Dietitian providers in Newport, OR
- Lauren Morrison Burns, RD, LDNPI 1568091296
- Amanda Claxton, M.S., R.D., L.D.NPI 1720251879
- Darcy De La Rosa, R.D., CDENPI 1205880465
- Caressa DunphyNPI 1437023074
- Alesha Orton, RDNPI 1629456116
- Alexis N Rocha, RDNPI 1215732011
- Your Friendly Dietitian, LLCNPI 1871264424
All 8 Registered Dietitian providers in Newport · All 782 providers in Newport
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.