Active NPI
Wellness 4 Prevention, LLC
- Registered Dietitian
- Lee's Summit, MO
National Provider Identifier
1013625649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- WELLNESS 4 PREVENTION, LLC
- Practice address
- 1800 NW Shamrock CT
Lees Summit, MO 64081-1600 - Phone
- (816) 425-3220
- Fax
- (877) 731-3326
- NPI assigned
- Nov 14, 2022
- Last updated
- Oct 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carolyn Skelton
- Title
- Owner
- Phone
- (816) 425-3220
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary | |
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | NU |
Addresses
Primary practice location
1800 NW Shamrock CT
Lees Summit, MO 64081-1600
Mailing address
1800 NW Shamrock CT
Lees Summit, MO 64081-1600
Phone (816) 425-3220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2001010320 | Other | MO | REGISTERED DIETITIAN |
| 350126873 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://secure.gethealthie.com/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Lee's Summit, MO
- NPI 1003130089
Dietitian, Registered
-
- Diabetes Educator Registered Nurse
- Saint Peters, MO
- NPI 1467158253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697155200000",
"number": "1013625649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 NW SHAMROCK CT",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640811600",
"telephone_number": "816-425-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 NW SHAMROCK CT",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640811600",
"telephone_number": "816-425-3220",
"fax_number": "877-731-3326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS 4 PREVENTION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-14",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A",
"authorized_official_last_name": "SKELTON",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-425-3220"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED DIETITIAN",
"identifier": "2001010320",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "350126873",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://secure.gethealthie.com/",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1800 NW Shamrock Ct",
"city": "Lee's Summit",
"state": "MO",
"country_code": "US",
"postal_code": "64081",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lee's Summit, MO
- Conner Weinman, DPT
- Robert C Weixeldorfer, OD
- Brooke D Welch, PT, DPT
- Richard Lin Welch, LCSW, LSCSW
- Charlotte Mary Wellman, M.S.W.,L.C.S.W.
- Colleen Margaret Wells
- Kimberlie D Wells, DO
- Robert Wells, LCSW
- Wellspring Ministries (Wellspring Counseling Center)
- Wendy K. Parsons, O.D., P.C. (Lee's Summit Family Eyecare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.