Individual provider Active NPI

Olivia Reagan Wudel, RDN, LDN

  • Registered Dietitian
  • Nashville, TN
National Provider Identifier
1457842890
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4251 Issued in TN
Practice address
2424 21St Ave S Ste 201
Nashville, TN 37212-5315
Phone
(615) 861-9146
NPI assigned
May 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 4251 TN Primary

Addresses

Primary practice location

2424 21St Ave S Ste 201
Nashville, TN 37212-5315

Mailing address

2116 Golden Oak LN
Madison, TN 37115-5383
Phone (865) 258-4272

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

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1457842890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 GOLDEN OAK LN",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155383",
            "telephone_number": "865-258-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 21ST AVE S STE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372125315",
            "telephone_number": "615-861-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUDEL",
        "first_name": "OLIVIA",
        "middle_name": "REAGAN",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "4251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

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