NPIMap

Organization Active NPI

Adult Well-Being Services

  • Registered Dietitian
  • Detroit, MI
National Provider Identifier
1902282015
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ADULT WELL-BEING SERVICES
Practice address
1423 Field St
Detroit, MI 48214-2321
Phone
(313) 825-2410
Fax
(313) 924-0350
NPI assigned
Jul 31, 2015
Organization subpart
Yes
Parent organization
ADULT WELL-BEING SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Dawn Rucker, L.M.S.W.
Title
Intrim President & Ceo
Phone
(313) 825-2410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X MI Primary

Addresses

Primary practice location

1423 Field St
Detroit, MI 48214-2321

Mailing address

1423 Field St
Detroit, MI 48214-2321
Phone (313) 825-2410

National Provider Directory

National Provider Directory
Tax ID family
All Well-Being Services4 organizations share this tax ID, including this one
Part of
All Well-Being Services

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902282015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 FIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142321",
            "telephone_number": "313-825-2410",
            "fax_number": "313-924-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 FIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142321",
            "telephone_number": "313-825-2410",
            "fax_number": "313-924-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT WELL-BEING SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADULT WELL-BEING SERVICES",
        "enumeration_date": "2015-07-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "INTRIM PRESIDENT & CEO",
        "authorized_official_telephone_number": "313-825-2410",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.M.S.W."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.