Wil Owens

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86297930 Issued in AL

Practice address

1201 11TH Ave S # 516
Birmingham, AL 35205-3423

Phone

(205) 934-7053

NPI assigned

Sep 8, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1730800665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 JOHNNYS CV",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350946609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 11TH AVE S # 516",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053423",
            "telephone_number": "205-934-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "WIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "86297930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACADEMY OF NUTRITION AND DIETETICS",
            "identifier": "86297930",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Ross Owens, M.D.
• Sabrina Owens, PHARM.D.
• Stacey Marie Owens, MA
• Timothy Storm Owens, MD
• Tyler Scott Owens, RBT
• Winfred Samuel Owens
• Justin Kyle Owensby, PHARMD, PHD
• Emmanuel Owie
• Madison Oxley, PHARMD
• Oxmoor Valley Orthodontics II LLC

• Registered Dietitian in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Registered Dietitian in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.