Active NPI
Stella Pierce Wolf, RD
- Registered Dietitian
- Pass Christian, MS
National Provider Identifier
1477805182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 800044
- Practice address
- 23499 Stablewood Cir
Pass Christian, MS 39571-6805 - Phone
- (228) 760-0591
- Fax
- (228) 248-4453
- NPI assigned
- Oct 4, 2012
- Last updated
- Oct 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 800044 | MS | Primary |
Addresses
Primary practice location
23499 Stablewood Cir
Pass Christian, MS 39571-6805
Mailing address
23499 Stablewood Cir
Pass Christian, MS 39571-6805
Phone (228) 760-0591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800044 | Other | MS | REGISTERED DIETITICIAN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 800044 | MS | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349308800000",
"number": "1477805182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23499 STABLEWOOD CIR",
"city": "PASS CHRISTIAN",
"state": "MS",
"postal_code": "395716805",
"telephone_number": "228-760-0591",
"fax_number": "228-248-4453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23499 STABLEWOOD CIR",
"city": "PASS CHRISTIAN",
"state": "MS",
"postal_code": "395716805",
"telephone_number": "228-760-0591",
"fax_number": "228-248-4453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "STELLA",
"middle_name": "PIERCE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-04",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "800044",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED DIETITICIAN",
"identifier": "800044",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pass Christian, MS
- Warren Family Dental LLC
- Lela Weems, LPC
- Wellness Physical Therapy of Diamondhead (Wellness PT of Diamondhead)
- Janice Wiley, P.T.
- Molly Wilson, LPC-S
- Zimmerman Family Dental Dentistry Acquisition Pass Christian PLLC
- Zimmerman Family Dentistry
- Emmett Lawrence Zimmerman, DDS
- Jeff Michael Zimmerman, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.