MEDICARE: EMILY VAN ECK NUTRITION & WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133N00000X	Nutritionist	2798	LA
2	133V00000X	Registered Dietitian	2798	LA

General Provider Information

NPI Number	:	1518476811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMILY VAN ECK NUTRITION & WELLNESS

Provider Business Mailing Address
First Line	:	4514 AVENUE B UNIT 2
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78751-3022
Country	:	US
Telephone Number	:	512-771-0315
Fax Number	:

Provider Business Practice Location Address
First Line	:	4514 AVENUE B UNIT 2
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78751-3022
Country	:	US
Telephone Number	:	512-771-0315
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED DIETITIAN AND FOUNDER
Name	:	EMILY M VAN ECK
Credential	:	MS, RD, LDN
Telephone Number	:	512-771-0315

Provider Enumeration Date	:	09/29/2017
Last Update Date	:	03/06/2026

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