Active NPI
Katherine Wells, RD
- Registered Dietitian
- Sheridan, WY
National Provider Identifier
1124780481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 009665
- Practice address
- 30 N Gould St Ste R
Sheridan, WY 82801-6317 - Phone
- (631) 213-7190
- Fax
- (631) 967-1698
- NPI assigned
- Oct 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 009665 | NY | Primary |
Addresses
Primary practice location
30 N Gould St Ste R
Sheridan, WY 82801-6317
Mailing address
30 N Gould St Ste R
Sheridan, WY 82801-6317
Phone (631) 213-7190
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well-Choices | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nutritionist
- Sheridan, WY
- NPI 1215531173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1124780481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N GOULD ST STE R",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828016317",
"telephone_number": "631-213-7190",
"fax_number": "631-967-1698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N GOULD ST STE R",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828016317",
"telephone_number": "631-213-7190",
"fax_number": "631-967-1698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "KATHERINE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-13",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "009665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.