Active NPI
Emily Wolfe, R.D.
- Registered Dietitian
- Anderson, IN
National Provider Identifier
1609075688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37001392A
- Practice address
- 141 W 22ND St Ste 210
Anderson, IN 46016-4389 - Phone
- (765) 646-8795
- NPI assigned
- Jul 11, 2007
- 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 | 37001392A | IN | Primary |
Addresses
Primary practice location
141 W 22ND St Ste 210
Anderson, IN 46016-4389
Mailing address
141 W 22ND St Ste 210
Anderson, IN 46016-4389
Other practice location 1
1125 W Jefferson St
Franklin, IN 46131-2140
Phone (317) 736-3349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 940990V | Other | MEDICARE INDIVIDUAL PROVI |
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
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": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1609075688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 W 22ND ST STE 210",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460164389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 W 22ND ST STE 210",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460164389",
"telephone_number": "765-646-8795"
}
],
"practiceLocations": [
{
"address_1": "1125 W Jefferson St",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "IN",
"postal_code": "461312140",
"country_code": "US",
"telephone_number": "317-736-3349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLFE",
"first_name": "EMILY",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37001392A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL PROVI",
"identifier": "940990V",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.