Active NPI
Wellness Restoration Centers of Missouri
- Nutritionist
- Saint Louis, MO
National Provider Identifier
1891027850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- 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, LLP
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 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.
-
- Nutritionist
- Saint Louis, MO
- NPI 1750613410
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.