Organization Active NPI

Fuel With Purpose

  • Sports Dietetics Nutrition Registered Dietitian
  • West Lafayette, IN
National Provider Identifier
1043028509
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X
Legal business name
FUEL WITH PURPOSE
Practice address
5928 Conkright LN
West Lafayette, IN 47906-8548
Phone
(405) 985-1417
NPI assigned
Dec 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Elaine Wanstreet, RD, CSSDNPI 1447761366
Title
Sports Dietitian
Phone
(405) 985-1417

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Sports Dietetics Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1501X Primary

Addresses

Primary practice location

5928 Conkright LN
West Lafayette, IN 47906-8548

Mailing address

5928 Conkright LN
West Lafayette, IN 47906-8548
Phone (405) 985-1417

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1043028509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5928 CONKRIGHT LN",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479068548",
            "telephone_number": "405-985-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5928 CONKRIGHT LN",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479068548",
            "telephone_number": "405-985-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUEL WITH PURPOSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-29",
        "status": "A",
        "authorized_official_last_name": "WANSTREET",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "SPORTS DIETITIAN",
        "authorized_official_telephone_number": "405-985-1417",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, CSSD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.