Active NPI
Well Fed Co. LLC
- Speech-Language Pathologist
- Sauk Rapids, MN
National Provider Identifier
1003687518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- WELL FED CO. LLC
- Practice address
- 1257 2ND St N
Sauk Rapids, MN 56379-4595 - Phone
- (320) 761-1666
- NPI assigned
- Jan 12, 2024
- Last updated
- Jan 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Erika L Yancey, DC, IBCLC
- Title
- Owner
- Phone
- (972) 839-0262
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary | |
| Lactation Consultant (Non-RN) | 174N00000X | NU |
Addresses
Primary practice location
1257 2ND St N
Sauk Rapids, MN 56379-4595
Mailing address
3209 Bent Tree Dr
Saint Cloud, MN 56301-9033
Phone (972) 839-0262
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Lactation Consultant (Non-RN)
- Sauk Rapids, MN
- NPI 1396990891
Lactation Consultant, Non-RN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705017600000",
"number": "1003687518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3209 BENT TREE DR",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563019033",
"telephone_number": "972-839-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1257 2ND ST N",
"city": "SAUK RAPIDS",
"state": "MN",
"postal_code": "563794595",
"telephone_number": "320-761-1666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELL FED CO. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-12",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A",
"authorized_official_last_name": "YANCEY",
"authorized_official_first_name": "ERIKA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-839-0262",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC, IBCLC"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sauk Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.