Organization Active NPI

Your Wellness Consultants

  • Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1750787610
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN004701 Issued in PA
Legal business name
YOUR WELLNESS CONSULTANTS
Practice address
2835 Tyson Ave
Philadelphia, PA 19149-1415
Phone
(610) 331-5439
NPI assigned
Nov 5, 2014
Last updated
Nov 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Ms. Danielle Dimarco, MS, RD, LDN, CPT
Title
Partner/Registered Dietitian
Phone
(610) 331-5439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN004701 PA Primary

Addresses

Primary practice location

2835 Tyson Ave
Philadelphia, PA 19149-1415

Mailing address

1 Presidential Blvd Ste 203
Bala Cynwyd, PA 19004-1007
Phone (610) 331-5439

Other identifiers 2

IdentifierTypeStateIssuer
1508142696OtherPANPI
1609167543OtherPANPI

National Provider Directory

National Provider Directory
Tax ID family
Your Wellness Consultants2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1750787610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESIDENTIAL BLVD STE 203",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041007",
            "telephone_number": "610-331-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 TYSON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491415",
            "telephone_number": "610-331-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR WELLNESS CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "DIMARCO",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PARTNER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "610-331-5439",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RD, LDN, CPT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508142696",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609167543",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.