NPIMap

Organization Active NPI

Nutrawellness Works, Inc

  • Registered Dietitian
  • Fairbanks, AK
National Provider Identifier
1083041149
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
163 Issued in AK
Legal business name
NUTRAWELLNESS WORKS, INC
Practice address
1400 Blackberry Dr
Fairbanks, AK 99712-1810
Phone
(907) 699-7799
Fax
(907) 459-8201
NPI assigned
Oct 3, 2013
Last updated
Oct 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Madeline Patterson-O'Dell, RDNPI 1477755908
Title
President
Phone
(907) 699-7799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 163 AK Primary

Addresses

Primary practice location

1400 Blackberry Dr
Fairbanks, AK 99712-1810

Mailing address

1400 Blackberry Dr
Fairbanks, AK 99712-1810
Phone (907) 699-7799

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1083041149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BLACKBERRY DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997121810",
            "telephone_number": "907-699-7799",
            "fax_number": "907-459-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BLACKBERRY DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997121810",
            "telephone_number": "907-699-7799",
            "fax_number": "907-459-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRAWELLNESS WORKS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "PATTERSON-O'DELL",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-699-7799",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AK",
            "license": "163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.