Organization Active NPI

Wildflower Integrative Health PLLC

  • Registered Dietitian
  • Murfreesboro, TN
National Provider Identifier
1235969361
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
WILDFLOWER INTEGRATIVE HEALTH PLLC
Practice address
621 S Church St
Murfreesboro, TN 37130-4923
Phone
(615) 893-0316
NPI assigned
Aug 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Kim Dunaway, MS, RDN
Title
Owner
Phone
(615) 893-0316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

621 S Church St
Murfreesboro, TN 37130-4923

Mailing address

107 Butte CT
Christiana, TN 37037-6158
Phone (615) 796-1335

National Provider Directory

National Provider Directory

Locations

621 S Church St
Murfreesboro, TN 37130
Phone (615) 893-0316

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1235969361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BUTTE CT",
            "city": "CHRISTIANA",
            "state": "TN",
            "postal_code": "370376158",
            "telephone_number": "615-796-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S CHURCH ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304923",
            "telephone_number": "615-893-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER INTEGRATIVE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-04",
        "status": "A",
        "authorized_official_last_name": "DUNAWAY",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-893-0316",
        "authorized_official_credential": "MS, RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.