Judith Elaine Wilcox, RD REGISTERED DIETIT

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3004LDN Issued in FL

Practice address

1057 E Coldwater Rd
Flint, MI 48505-1501

Phone

(810) 931-2771

NPI assigned

Jun 6, 2007

Last updated

Jun 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

University of Miami, LM Miller School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesee Health SystemGroup PAC ID 6002051091, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesee Health System

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flint, MI
  • NPI 1043554348
  Medicare reassignment Care Compare group NPD
• Physician Universe, PLLC

  • Specialist
  • Bloomfield Hills, MI
  • NPI 1023435856
  Medicare reassignment
• Genesee Health System

  dba Genesee Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Flint, MI
  • NPI 1962140137
  NPD

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1437352846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 CHISSOM TRL",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322309",
            "telephone_number": "954-560-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 E COLDWATER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485051501",
            "telephone_number": "810-931-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "JUDITH",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "RD REGISTERED DIETIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "3004LDN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah N Wiggins, FNP-BC
• Ronnie Wiggins
• Shawn M Wiggins, M.D.
• Heidi Wilberding
• Denise Wilcox-Terryah
• Kelly J Wilcox, NP-C
• Shara J Wilcox, PTA
• Janet Marie Wiles, L.M.S.W., A.C.S.W.,
• William Wiles Jr., LLMSW
• Destiny Lanae Wiley

• Registered Dietitian in Flint, MI
• Providers in Flint, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.