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SHERIDAN PEAK WELLNESS NPI 1053805382


NPI Information

NPI: 1053805382
Provider Name: SHERIDAN PEAK WELLNESS
Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
740 S. THURMOND ST.
SHERIDAN, WY
ZIP 82801
Phone: (307) 683-6874
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SHERIDAN PEAK WELLNESS is a dietitian registered in Sheridan, WY. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. SHERIDAN PEAK WELLNESS NPI is 1053805382. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

740 S. THURMOND ST.
SHERIDAN, WY
ZIP 82801
Phone: (307) 683-6874
Fax: (415) 559-4790

The provider's authorized official is Jennifer Lee Clark .
The authorized official title is Corporation Owner and has the following contact phone number (307) 683-6874.

The enumeration date for this NPI number is 6/20/2018 and was last updated on 6/20/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133NN1002XNutritionistNutrition, EducationNo
2133VN1004XDietitian, RegisteredNutrition, PediatricNo
3133VN1006XDietitian, RegisteredNutrition, MetabolicNo
4133V00000XDietitian, Registered232WYOMINGYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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