Active NPI
Emilee Pack, RD, LD
- Registered Dietitian
- Frankford, WV
National Provider Identifier
1780993261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 790
- Practice address
- 7942 Friars Hill Rd
Frankford, WV 24938-7323 - Phone
- (304) 646-5292
- NPI assigned
- Sep 30, 2010
- Last updated
- Aug 24, 2023
- 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 | 790 | WV | Primary |
Addresses
Primary practice location
7942 Friars Hill Rd
Frankford, WV 24938-7323
Mailing address
7942 Friars Hill Rd
Frankford, WV 24938-7323
Phone (304) 646-5292
Other practice location 1
40823 Midland Trl E
White Sulphur Springs, WV 24986-5064
Phone (800) 362-7798 ext. 234
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | AthenaONE | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 790 | WV | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1780993261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7942 FRIARS HILL RD",
"city": "FRANKFORD",
"state": "WV",
"postal_code": "249387323",
"telephone_number": "304-646-5292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7942 FRIARS HILL RD",
"city": "FRANKFORD",
"state": "WV",
"postal_code": "249387323",
"telephone_number": "304-646-5292"
}
],
"practiceLocations": [
{
"address_1": "40823 Midland Trl E",
"address_purpose": "LOCATION",
"city": "White Sulphur Springs",
"state": "WV",
"postal_code": "249865064",
"country_code": "US",
"telephone_number": "800-362-7798 x234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PACK",
"first_name": "EMILEE",
"name_prefix": "Mrs.",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-30",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WV",
"license": "790",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "AthenaONE",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "AthenaONE EHR",
"address_1": "40823 Midland Trl E",
"city": "White Sulphur Springs",
"state": "WV",
"country_code": "US",
"postal_code": "249865064",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Frankford, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.