Individual provider Active NPI

Peggy Jean Woehl, RD

  • Registered Dietitian
  • Hot Springs, SD
National Provider Identifier
1093813271
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0157 Issued in SD
Practice address
500 N 5TH St
Hot Springs, SD 57747-1480
Phone
(605) 745-2051
Fax
(605) 745-2837
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 0157 SD Primary

Addresses

Primary practice location

500 N 5TH St
Hot Springs, SD 57747-1480

Mailing address

27492 Mule Deer Rd
Hot Springs, SD 57747-7504
Phone (605) 745-4755

Other identifiers 2

IdentifierTypeStateIssuer
015004OtherSDAMER DIET ASSO REG #
0157OtherSDLICENSED NUTRITIONIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0157SDMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093813271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27492 MULE DEER RD",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577477504",
            "telephone_number": "605-745-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N 5TH ST",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577471480",
            "telephone_number": "605-745-2051",
            "fax_number": "605-745-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOEHL",
        "first_name": "PEGGY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SD",
            "license": "0157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMER DIET ASSO REG #",
            "identifier": "015004",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED NUTRITIONIST",
            "identifier": "0157",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.