Organization Active NPI

Wilder Nutrition Solutions LLC

  • Registered Dietitian
  • Saint Petersburg, FL
National Provider Identifier
1801224282
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND5225 Issued in FL
Legal business name
WILDER NUTRITION SOLUTIONS LLC
Practice address
184 Valencia Cir
Saint Petersburg, FL 33716-1298
Phone
(813) 748-9303
NPI assigned
Oct 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Darbie L Wilder, RD
Title
Sole Proprietor
Phone
(813) 748-9303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X ND5225 FL Primary

Addresses

Primary practice location

184 Valencia Cir
Saint Petersburg, FL 33716-1298

Mailing address

184 Valencia Cir
Saint Petersburg, FL 33716-1298
Phone (813) 748-9303

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1801224282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 VALENCIA CIR",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337161298",
            "telephone_number": "813-748-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 VALENCIA CIR",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337161298",
            "telephone_number": "813-748-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDER NUTRITION SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "DARBIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "813-748-9303",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.