Individual provider Active NPI

Rachel Ellen Wemple

  • Registered Dietitian
  • Nixa, MO
National Provider Identifier
1568095685
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2007038101 Issued in MO
Practice address
616 N Jerico St
Nixa, MO 65714-8963
Phone
(417) 209-9818
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2007038101 MO Primary

Addresses

Primary practice location

616 N Jerico St
Nixa, MO 65714-8963

Mailing address

616 N Jerico St
Nixa, MO 65714-8963
Phone (417) 209-9818

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL URL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210503000541 MO Practitioner - Registered Dietitian Or Nutrition Professional 0446267785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharlin Health and Neurology LLCGroup PAC ID 2961710496, 2 clinicians

Practice addresses (Care Compare)

5528 N Farmer Branch Rd
Ozark, MO 65721-5315
Phone (417) 485-4330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2007038101MOMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Sharlin Health and Neurology, LLC CurrentSince Feb 1, 2021 Accepting new patients
Nephrology Associates, PC PastSince Oct 1, 2007 Accepting new patients

Locations

5528 N Farmer Branch Rd
Ozark, MO 65721
Phone (417) 485-4330

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1568095685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N JERICO ST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657148963",
            "telephone_number": "417-209-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N JERICO ST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657148963",
            "telephone_number": "417-209-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEMPLE",
        "first_name": "RACHEL",
        "middle_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2007038101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "address_1": "616 N Jerico St",
            "city": "Nixa",
            "state": "MO",
            "country_code": "US",
            "postal_code": "657148963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nixa, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.