Individual provider Active NPI

Vicki Wuest, MS, CNS, LDN

  • Nutritionist
  • Columbia, MD
National Provider Identifier
1699344390
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DX5254 Issued in MD
Practice address
7130 Minstrel Way Ste 160
Columbia, MD 21045-5336
Phone
(410) 312-9922
NPI assigned
Jun 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DX5254 MD Primary

Addresses

Primary practice location

7130 Minstrel Way Ste 160
Columbia, MD 21045-5336

Mailing address

838 Holly Dr E
Annapolis, MD 21409-5518
Phone (410) 336-5507

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
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
DX5254MDMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Awaken Wellness, LLC PastSince Jun 22, 2021 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": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1699344390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 HOLLY DR E",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214095518",
            "telephone_number": "410-336-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 MINSTREL WAY STE 160",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455336",
            "telephone_number": "410-312-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUEST",
        "first_name": "VICKI",
        "credential": "MS, CNS, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX5254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.