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

Madeline Banta, RD, LD

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1649717562

Madeline Banta, RD, LD is a Pediatric Nutrition Registered Dietitian in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2017
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-5329
Show map & directions

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

Specialties & licences

Pediatric Nutrition Registered Dietitian (primary) Taxonomy 133VN1004X (ID)

Record details

NPI number1649717562
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorYes
NPI enumeratedJanuary 30, 2017
Last updated in NPPESFebruary 2, 2022
Certification dateFebruary 2, 2022

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