Organization Active NPI

Wellness Restoration Centers of Missouri

  • Nutritionist
  • Saint Louis, MO
National Provider Identifier
1891027850
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
WELLNESS RESTORATION CENTERS OF MISSOURI
Practice address
6060 Telegraph Rd
Saint Louis, MO 63129-4762
Phone
(314) 846-8840
Fax
(314) 846-8840
NPI assigned
Feb 2, 2010
Organization subpart
Yes
Parent organization
VAN NESS ENTREPRISES, LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Randee P Van Ness, MS
Title
Ceo
Phone
(719) 651-5102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

6060 Telegraph Rd
Saint Louis, MO 63129-4762

Mailing address

6060 Telegraph Rd
Saint Louis, MO 63129-4762
Phone (314) 846-8800

National Provider Directory

National Provider Directory
Part of
Vanness Enterprises LLC

Locations

6060 Telegraph Rd
Saint Louis, MO 63129
Phone (314) 846-8800

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": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1891027850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 TELEGRAPH RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631294762",
            "telephone_number": "314-846-8800",
            "fax_number": "314-846-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 TELEGRAPH RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631294762",
            "telephone_number": "314-846-8840",
            "fax_number": "314-846-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS RESTORATION CENTERS OF MISSOURI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VAN NESS ENTREPRISES, LLP",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "VAN NESS",
        "authorized_official_first_name": "RANDEE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-651-5102",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.