Active NPI
Robert Weller
- Registered Dietitian
- Memphis, TN
National Provider Identifier
1235535055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2550
- Practice address
- 6019 Walnut Grove Rd
Memphis, TN 38120-2113 - Phone
- (901) 226-5743
- NPI assigned
- Nov 5, 2014
- Last updated
- Nov 5, 2014
- Sex
- Male
- 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 | 2550 | TN | Primary |
Addresses
Primary practice location
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Mailing address
6019 Walnut Grove Rd
Memphis, TN 38120-2113
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2550 | TN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415145600000",
"number": "1235535055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6019 WALNUT GROVE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6019 WALNUT GROVE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202113",
"telephone_number": "901-226-5743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLER",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-05",
"last_updated": "2014-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "2550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
- Well Child of Mississippi LLC
- Well Child School Health Services
- Wellbeing Non-Medical Homecare
- Wellbound of Memphis LLC (Satellite WellBound of Memphis)
- Wellcare, LLC (Wellcare Health Services)
- Wellgraph Gen Corp
- Wellgraph Gen Corp
- Wellness Ambulatory Care Inc. (BHG Medical Services Memphis North)
- Wellness Ambulatory Care Inc. (BHG Medical Services Memphis South)
- Wellness Ambulatory Care Inc. (BHG Medical Services Memphis Mid-Town)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.