Active NPI
Emily Welin
- Registered Dietitian
- Lake St Louis, MO
National Provider Identifier
1932642675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2016030013
- Practice address
- 100 Medical PLZ
Lake St Louis, MO 63367-1366 - Phone
- (636) 625-5200
- NPI assigned
- Nov 29, 2016
- Last updated
- Nov 29, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2016030013 | MO | Primary |
Addresses
Primary practice location
100 Medical PLZ
Lake St Louis, MO 63367-1366
Mailing address
1084 Johanna Dr
Ballwin, MO 63021-6494
Phone (636) 226-6699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016030013 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1932642675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1084 JOHANNA DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630216494",
"telephone_number": "636-226-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL PLZ",
"city": "LAKE ST LOUIS",
"state": "MO",
"postal_code": "633671366",
"telephone_number": "636-625-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELIN",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-29",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2016030013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake St Louis, MO
- Michelle Louise Wallweber, MSN, APRN, FNP-C
- Pamela Lynn Walsh, NP
- Jiajing Wang
- Lauretta Pearson Wegman, FNP-C
- Tammy Lynn Wehmeyer, PT
- Westplex Homecare Inc. (Visiting Angels Westplex)
- McKensey Marie Whitchurch, COTA
- Wildhorse Dental Care, LLC (New Creation Dental Care)
- John David Wilkes, MD
- Aminah Williams, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.