Wildheart Nutrition Therapy

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

WILDHEART NUTRITION THERAPY

Practice address

2711 N 21St St
Tacoma, WA 98406-7519

Phone

(501) 318-7746

NPI assigned

Jul 6, 2021

Organization subpart

No

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

Authorized official

Name

Emily DuncanNPI 1588234983

Title

RDN

Phone

(501) 318-7746

Specialties & licenses 1

Addresses

Practitioners 1

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

• Emily Duncan, RDN

  • Registered Dietitian
  • Tacoma, WA
  • NPI 1588234983

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1174194757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 N PEARL ST",
            "city": "RUSTON",
            "state": "WA",
            "postal_code": "984073215",
            "telephone_number": "501-318-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 N 21ST ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984067519",
            "telephone_number": "501-318-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDHEART NUTRITION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "RDN",
        "authorized_official_telephone_number": "501-318-7746"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernice Joann Wilder, DNP, ARNP, BC
• Christel Wilder, MS
• Maria Wilchaida Guiao Wilder, ARNP
• Megan Grace Wildes, ARNP
• Wildflower Counselors
• Robyn Angela Wilds, SUDP
• William W Wiles, LPN
• Cheyann Mae Wiley
• Angela N Wilhoit, NP
• Carol Wilkins

• Registered Dietitian in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.

Verify at the official NPI Registry.