Organization Active NPI

Epoch Wellness LLC

  • Registered Dietitian
  • Hebron, KY
National Provider Identifier
1871858456
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
7553 Issued in OH
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

Updated by the provider on Feb 11, 2015

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 7553 OH Primary
Clinical Exercise PhysiologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1992814OtherOHARTICLES OF ORGANIZATION

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.