The Nourish Foundation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

THE NOURISH FOUNDATION

Doing business as

Nourish Wellness

Practice address

1323 Auburn St
Opelika, AL 36801-7801

Phone

(334) 610-1576

NPI assigned

May 4, 2022

Last updated

May 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Katie A Wolter, MD

Title

Owner

Phone

(334) 610-1576

Specialties & licenses 1

Addresses

Other names 1

• Nourish Wellness Doing business as

Locations

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1467197335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 AUBURN ST",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017801",
            "telephone_number": "334-610-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 AUBURN ST",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017801",
            "telephone_number": "334-610-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NOURISH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "WOLTER",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-610-1576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nourish Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in Opelika, AL
• Providers in Opelika, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.