The Well Collective, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

THE WELL COLLECTIVE, LLC

Practice address

4101 Paseo del Norte NE
Albuquerque, NM 87113

Phone

(505) 239-0431

NPI assigned

Oct 2, 2024

Organization subpart

No

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

Authorized official

Name

Jessika Brown, RD, MS, CSSD, CEDS-CNPI 1275842015

Title

Owner/Registered Dietician

Phone

(505) 239-0431

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessika Nicole Brown, RD, LD

  • Registered Dietitian
  • Albuquerque, NM
  • NPI 1275842015

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1942028402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 GIDDINGS AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096412",
            "telephone_number": "505-239-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 PASEO DEL NORTE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87113",
            "telephone_number": "505-239-0431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9501 Giddings Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871096412",
            "country_code": "US",
            "telephone_number": "505-239-0431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE WELL COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JESSIKA",
        "authorized_official_title_or_position": "OWNER/REGISTERED DIETICIAN",
        "authorized_official_telephone_number": "505-239-0431",
        "authorized_official_credential": "RD, MS, CSSD, CEDS-C"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The University of New Mexico
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• The University of New Mexico Health Sciences Center
• The Water Collection LLC
• The Willow Tree Center for Counseling, Psychotherapy, and Clinical Hyp
• The Woodmark at Uptown
• Gladys Theiler
• Meghan Louise Theiss, MA, LMHC
• Andrea K Thelen, PA

• Registered Dietitian in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Registered Dietitian in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.