Active NPI
Jody B Wells, MS, RD, IBCLC
- Registered Dietitian
- Oxford, MS
National Provider Identifier
1578285078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 908 Bonnie Blue Dr
Oxford, MS 38655-6198 - Phone
- (662) 380-2147
- NPI assigned
- Sep 13, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Registered Dietitian | 133V00000X | MS | Primary |
Addresses
Primary practice location
908 Bonnie Blue Dr
Oxford, MS 38655-6198
Mailing address
908 Bonnie Blue Dr
Oxford, MS 38655-6198
Phone (662) 380-2147
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jody@magnoliafed.com | Direct |
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1578285078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 BONNIE BLUE DR",
"city": "OXFORD",
"state": "MS",
"postal_code": "386556198",
"telephone_number": "662-380-2147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 BONNIE BLUE DR",
"city": "OXFORD",
"state": "MS",
"postal_code": "386556198",
"telephone_number": "662-380-2147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "JODY",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "MS, RD, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-13",
"last_updated": "2022-09-13",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jody@magnoliafed.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "908 Bonnie Blue Dr",
"city": "Oxford",
"state": "MS",
"country_code": "US",
"postal_code": "386556198",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.