Personal Nutrition & Wellness Inc

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

PERSONAL NUTRITION & WELLNESS INC

Practice address

4450 31St Ave S
Fargo, ND 58104-4556

Phone

(763) 300-4816

Fax

(763) 299-1002

NPI assigned

Dec 19, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tiffany Flaten, CNS, LNNPI 1871909242

Title

Ceo/President

Phone

(763) 300-4816

Specialties & licenses 1

Addresses

Other names 1

• Rock Bottom Wellness, Inc. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany Flaten, M.S., LN, CNS

  • Nutrition Education Nutritionist
  • Maple Grove, MN
  • NPI 1871909242

  Nutrition, Education

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786147200000",
    "number": "1013725340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 31ST AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044556",
            "telephone_number": "763-300-4816",
            "fax_number": "763-299-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 31ST AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044556",
            "telephone_number": "763-300-4816",
            "fax_number": "763-299-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9325 Upland Ln N Ste 310",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553694451",
            "country_code": "US",
            "telephone_number": "612-361-6475",
            "fax_number": "763-229-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERSONAL NUTRITION & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A",
        "authorized_official_last_name": "FLATEN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "763-300-4816",
        "authorized_official_credential": "CNS, LN"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Bottom Wellness, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Gabriel Perez, LPCC-S
• Sarah E Perkerewicz, PT, DPT
• Tiara F Perkins
• Kylie Perleberg
• Stephanie Marie Perreault, PHARM.D.
• Nancy Ellen Persons, MED/LAC
• Ali Pervaiz, M.D.
• Branden L Perzinski, O.D.
• Brittany Peschel, PT,DPT
• Mahfooz Peshimam, M.D.

• Nutrition Education Nutritionist in Fargo, ND
• Providers in Fargo, ND by specialty
• Nutrition Education Nutritionist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.