Active NPI
Wellness Vibe
- Registered Dietitian
- Midlothian, VA
National Provider Identifier
1487250627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- WELLNESS VIBE
- Practice address
- 2312 Prenoman LN
Midlothian, VA 23112-5246 - Phone
- (804) 201-6919
- NPI assigned
- Dec 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. George Pulliam Jr., MS
- Title
- Cfo
- Phone
- (804) 536-9998
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
2312 Prenoman LN
Midlothian, VA 23112-5246
Mailing address
2312 Prenoman LN
Midlothian, VA 23112-5246
Phone (804) 536-9998
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607558400000",
"number": "1487250627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2312 PRENOMAN LN",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231125246",
"telephone_number": "804-536-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2312 PRENOMAN LN",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231125246",
"telephone_number": "804-201-6919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS VIBE",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A",
"authorized_official_last_name": "PULLIAM",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "804-536-9998",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.