Organization Active NPI

Kidney Friendly Dietitian, LLC

  • Renal Nutrition Registered Dietitian
  • Asheville, NC
National Provider Identifier
1457039257
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
Legal business name
KIDNEY FRIENDLY DIETITIAN, LLC
Practice address
81 Broadway St Ste 201
Asheville, NC 28801-7900
Phone
(828) 243-0302
NPI assigned
Jul 11, 2023
Last updated
Jul 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Authorized official

Name
Emily Rose Wheeler, RD, CSR, LDNNPI 1366144404
Title
Owner, Registered Dietitian
Phone
(828) 243-0302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU
Renal Nutrition Registered Dietitian 133VN1005X NU Primary

Addresses

Primary practice location

81 Broadway St Ste 201
Asheville, NC 28801-7900

Mailing address

81 Broadway St Ste 201
Asheville, NC 28801-7900
Phone (828) 243-0302

Other practice location 1

585 Bull Walker Rd
Old Fort, NC 28762-5719
Phone (828) 243-0302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250423001039 NC Part B Supplier - Clinic/Group Practice 6103341029 Receives reassigned benefits from 1 practitioner
Practice locations: Old Fort, NC

National Provider Directory

National Provider Directory

Locations

81 Broadway St
#201
Asheville, NC 28801
Phone (828) 243-0302

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1457039257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 BROADWAY ST STE 201",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288017900",
            "telephone_number": "828-243-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 BROADWAY ST STE 201",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288017900",
            "telephone_number": "828-243-0302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "585 Bull Walker Rd",
            "address_purpose": "LOCATION",
            "city": "Old Fort",
            "state": "NC",
            "postal_code": "287625719",
            "country_code": "US",
            "telephone_number": "828-243-0302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDNEY FRIENDLY DIETITIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "828-243-0302",
        "authorized_official_credential": "RD, CSR, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.