Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Waller, RD, LDN

Individual provider Registered Dietitian · NPI 1306728936

Ethan Waller, RD, LDN is a Registered Dietitian in Durham, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

See every abbreviation used in this directory →

Practice location Address checks out

311 S Lasalle St Apt 35A
Durham, NC 27705-3678
Phone: (910) 508-8661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86432056 (NC)

Record details

NPI number1306728936
Entity typeIndividual (Type 1)
GenderMale
Credentials RD , LDN
Sole proprietorNo
NPI enumeratedJuly 24, 2025
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

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