Individual provider Active NPI

Emilee Pack, RD, LD

  • Registered Dietitian
  • Frankford, WV
National Provider Identifier
1780993261
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
790 Issued in WV
Practice address
7942 Friars Hill Rd
Frankford, WV 24938-7323
Phone
(304) 646-5292
NPI assigned
Sep 30, 2010
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
790WVMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.