Active NPI
Wellfit Nutrition, PLLC
- Registered Dietitian
- Jackson, TN
National Provider Identifier
1861734667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2501
- 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, 2013
- Organization subpart
- Yes
- Parent organization
- WELL FIT MEDICINE & NUTRITION, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catherine M Draper, RD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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.
-
- Registered Dietitian
- Jackson, TN
- NPI 1033460415
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
- Caroline Wehner
- Ronald Weiner, D.O.
- Todd Alan Welch, D.M.D.
- Edward Hunter Welles, M.D.
- Wellfit Medicine and Nutrition Jackson, PLLC
- Wellness Ambulatory Care Inc. (BHG Medical Services Jackson)
- Wellness Clinic and Family Care PLLC
- Pamela A Wells, M.D.
- Ruth Lyn Wells, PHARM.D.
- Christopher Welsch, M.D.
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.