Active NPI
Emily D Waddoups, RDCD
- Registered Dietitian
- Salt Lake City, UT
National Provider Identifier
1962597625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5869829-4901
- Practice address
- 288 N 1460 W
Salt Lake City, UT 84116-3231 - Phone
- (801) 538-6266
- NPI assigned
- Oct 4, 2006
- 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 | 5869829-4901 | UT | Primary |
Addresses
Primary practice location
288 N 1460 W
Salt Lake City, UT 84116-3231
Mailing address
2329 S 1450 W
Woods Cross, UT 84087-2230
Phone (801) 682-6247
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 |
|---|---|---|---|
| 5869829-4901 | UT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Utah, Department of Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Salt Lake City, UT
- NPI 1811504483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962597625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2329 S 1450 W",
"city": "WOODS CROSS",
"state": "UT",
"postal_code": "840872230",
"telephone_number": "801-682-6247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 N 1460 W",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841163231",
"telephone_number": "801-538-6266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADDOUPS",
"first_name": "EMILY",
"middle_name": "D",
"credential": "RDCD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "5869829-4901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.