Active NPI
Epoch Wellness LLC
- Registered Dietitian
- Hebron, KY
National Provider Identifier
1871858456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 7553
- Legal business name
- EPOCH WELLNESS LLC
- Practice address
- 1759 Elmburn LN
Hebron, KY 41048-6712 - Phone
- (513) 446-1798
- NPI assigned
- Jul 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keith Collins, MS
- Title
- Director
- Phone
- (513) 446-1798
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 7553 | OH | Primary |
| Clinical Exercise Physiologist | 224Y00000X |
Addresses
Primary practice location
1759 Elmburn LN
Hebron, KY 41048-6712
Mailing address
1759 Elmburn LN
Hebron, KY 41048-6712
Phone (513) 446-1798
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992814 | Other | OH | ARTICLES OF ORGANIZATION |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423612800000",
"number": "1871858456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1759 ELMBURN LN",
"city": "HEBRON",
"state": "KY",
"postal_code": "410486712",
"telephone_number": "513-446-1798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1759 ELMBURN LN",
"city": "HEBRON",
"state": "KY",
"postal_code": "410486712",
"telephone_number": "513-446-1798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPOCH WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-10",
"last_updated": "2015-02-11",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "513-446-1798",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "7553",
"primary": true
},
{
"code": "224Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Exercise Physiologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARTICLES OF ORGANIZATION",
"identifier": "1992814",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hebron, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.