Active NPI
Wanda Acuna Rivera, RD CD
- Registered Dietitian
- Hill AFB, UT
National Provider Identifier
1679537104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 6036 Cedar LN
BLDG 1277
Hill AFB, UT 84056-5812 - Phone
- (801) 586-6022
- Fax
- (801) 777-5760
- NPI assigned
- Apr 13, 2006
- Last updated
- Dec 7, 2015
- 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 | NU | Primary |
Addresses
Primary practice location
6036 Cedar LN
BLDG 1277
Hill AFB, UT 84056-5812
Mailing address
1641 N 2475 W
Clinton, UT 84015-8237
Phone (801) 586-6022
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": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1679537104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1641 N 2475 W",
"city": "CLINTON",
"state": "UT",
"postal_code": "840158237",
"telephone_number": "801-586-6022",
"fax_number": "801-777-5760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6036 CEDAR LN",
"address_2": "BLDG 1277",
"city": "HILL AFB",
"state": "UT",
"postal_code": "840565812",
"telephone_number": "801-586-6022",
"fax_number": "801-777-5760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "WANDA",
"middle_name": "ACUNA",
"name_prefix": "Mrs.",
"credential": "RD CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hill AFB, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.