Organization Active NPI

Wellfit Nutrition, PLLC

  • Registered Dietitian
  • Jackson, TN
National Provider Identifier
1861734667
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2501 Issued in TN
Legal business name
WELLFIT NUTRITION, PLLC
Practice address
101 Executive Dr
Jackson, TN 38305-2318
Phone
(731) 300-3372
Fax
(731) 300-3374
NPI assigned
Mar 20, 2013
Last updated
Mar 20, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
WELL FIT MEDICINE & NUTRITION, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Catherine M Draper, RDNPI 1033460415
Title
Registered Dietician
Phone
(731) 300-3372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 2501 TN Primary

Addresses

Primary practice location

101 Executive Dr
Jackson, TN 38305-2318

Mailing address

101 Executive Dr
Jackson, TN 38305-2318
Phone (731) 300-3372

National Provider Directory

National Provider Directory
Part of
Wellfit Medicine and Nutrition Jackson PLLC

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": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1861734667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EXECUTIVE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052318",
            "telephone_number": "731-300-3372",
            "fax_number": "731-300-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EXECUTIVE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052318",
            "telephone_number": "731-300-3372",
            "fax_number": "731-300-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLFIT NUTRITION, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELL FIT MEDICINE & NUTRITION, PLLC",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "DRAPER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGISTERED DIETICIAN",
        "authorized_official_telephone_number": "731-300-3372",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.