Individual provider Active NPI

Emily Wells, RD

  • Registered Dietitian
  • Johnson City, TN
National Provider Identifier
1710714993
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4952 Issued in TN
Practice address
110 Corporate Dr Ste 100
Johnson City, TN 37604-2009
Phone
(423) 530-6556
NPI assigned
Sep 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 4952 TN Primary

Addresses

Primary practice location

110 Corporate Dr Ste 100
Johnson City, TN 37604-2009

Mailing address

110 Corporate Dr Ste 100
Johnson City, TN 37604-2009
Phone (423) 530-6556

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

State licenses

LicenseStateTypeSpecialty
4952TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Heal U, LLC Dietitian, Registered CurrentSince Sep 23, 2024 Accepting new patients

Locations

110 Corporate Dr
Ste 100
Johnson City, TN 37604
Phone (423) 283-0323

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": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1710714993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CORPORATE DR STE 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042009",
            "telephone_number": "423-530-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CORPORATE DR STE 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042009",
            "telephone_number": "423-530-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "EMILY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "4952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.