Active NPI
Emily C Prough, MNT
- Registered Dietitian
- Ankeny, IA
National Provider Identifier
1497114235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 081158
- Practice address
- 3210 SE Corporate Woods Dr
Ankeny, IA 50021-7405 - Phone
- (866) 716-3257
- NPI assigned
- Feb 22, 2016
- Last updated
- Aug 29, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 081158 | IA | Primary |
Addresses
Primary practice location
3210 SE Corporate Woods Dr
Ankeny, IA 50021-7405
Mailing address
3 S 4TH Ave
Marshalltown, IA 50158-2998
Phone (641) 754-5151
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081158 | IA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1497114235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 S 4TH AVE",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501582998",
"telephone_number": "641-754-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 SE CORPORATE WOODS DR",
"city": "ANKENY",
"state": "IA",
"postal_code": "500217405",
"telephone_number": "866-716-3257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROUGH",
"first_name": "EMILY",
"middle_name": "C",
"credential": "MNT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-22",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "081158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.