Active NPI
Wendy Brewer
- Registered Dietitian
- Grundy Center, IA
National Provider Identifier
1508269796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01068
- Practice address
- 201 E J Ave
Grundy Center, IA 50638-2028 - Phone
- (319) 824-4127
- NPI assigned
- Oct 1, 2014
- 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 | 01068 | IA | Primary |
Addresses
Primary practice location
201 E J Ave
Grundy Center, IA 50638-2028
Mailing address
105 Circle Dr
Wellsburg, IA 50680-7746
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": "1412121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412121600000",
"number": "1508269796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CIRCLE DR",
"city": "WELLSBURG",
"state": "IA",
"postal_code": "506807746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E J AVE",
"city": "GRUNDY CENTER",
"state": "IA",
"postal_code": "506382028",
"telephone_number": "319-824-4127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "WENDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-01",
"last_updated": "2014-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "01068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grundy Center, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.