NPI 1124780481 · live from the CMS NPI Registry
Katherine Wells, RD
Dietitian, Registered in Sheridan, WY. National Provider Identifier 1124780481, active.
NPI record
| NPI | 1124780481 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 30 N Gould St Ste R, Sheridan, WY 82801 |
| Practice phone | 631-213-7190 |
| Enumerated | October 13, 2021 |
| Last updated | October 21, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 009665 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.