CHRISTINE MARIE LEWALLEN (R.D.) – Registered Dietitian, NPI 1407927239

CHRISTINE MARIE LEWALLEN (R.D.) is a healthcare provider. based in Stockton, California. specializing in Registered Dietitian. They hold the professional credentials R.D.. They hold a License No. 876533 (CA). The NPI Number for CHRISTINE MARIE LEWALLEN (R.D.) is 1407927239

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE MARIE LEWALLEN (R.D.)
NPI
1407927239
Phone
(209) 483-7647
Address
3143 SEA GULL LN
Enumeration Date
13 November 2006
Last Update Date
9 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8887857370
Graduation Year
1998 (28 years ago)
PAC ID
4880746379
Group Practice PAC ID
0648173120
Professional Enrollment ID
I20160719002794
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for CHRISTINE MARIE LEWALLEN (R.D.)

  • 3143, Sea Gull Lane, Stockton, San Joaquin County, California, 95203, United States

    STOCKTON, CA 952194604

    Phone: (209) 483-7647

    Type: Mailing

  • Grand Canal Boulevard, Stockton, San Joaquin County, California, 95203, United States

    STOCKTON, CA 952076657

    Phone: (209) 483-7647

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95219)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648173120View full group profile
NameSpecialtyState
-MI
-IL
Registered Dietitian Or Nutrition ProfessionalAZ
Registered Dietitian Or Nutrition ProfessionalIL
-IL
-IL
-IN
-IL
-IL
Registered Dietitian Or Nutrition ProfessionalIL

Reviews

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Frequently asked questions

Can I use this page to confirm CHRISTINE MARIE LEWALLEN (R.D.)'s NPI?
Yes. CHRISTINE MARIE LEWALLEN (R.D.) is listed with NPI 1407927239 in the public NPI dataset.
Can I rely on CHRISTINE MARIE LEWALLEN (R.D.) being an active provider?
As of the registry snapshot, CHRISTINE MARIE LEWALLEN (R.D.) is marked active.
What taxonomy line describes CHRISTINE MARIE LEWALLEN (R.D.)?
For research purposes, treat CHRISTINE MARIE LEWALLEN (R.D.) as Registered Dietitian in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect CHRISTINE MARIE LEWALLEN (R.D.) on a map?
Expect Stockton, California as a primary anchor for CHRISTINE MARIE LEWALLEN (R.D.) unless the record lists multiple sites.
Why does CHRISTINE MARIE LEWALLEN (R.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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