Active NPI
Famelia, Inc.
- Registered Dietitian
- Minneapolis, MN
National Provider Identifier
1013892801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- FAMELIA, INC.
- Practice address
- 121 Washington Ave N FL 2
Minneapolis, MN 55401-2503 - Phone
- (302) 386-3653
- NPI assigned
- Aug 9, 2025
- 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
- Brandon Morales
- Title
- Chief Executive Officer
- Phone
- (401) 837-5248
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
121 Washington Ave N FL 2
Minneapolis, MN 55401-2503
Mailing address
121 Washington Ave N FL 2
Minneapolis, MN 55401-2503
Phone (302) 386-3653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
330 2nd Ave S
Ste 2001376
Minneapolis, MN 55401
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- St Louis Park, MN
- NPI 1366830952
Dietitian, Registered
-
- Registered Dietitian
- Edina, MN
- NPI 1689608523
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754956800000",
"number": "1013892801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 WASHINGTON AVE N FL 2",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554012503",
"telephone_number": "302-386-3653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 WASHINGTON AVE N FL 2",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554012503",
"telephone_number": "302-386-3653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMELIA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-09",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A",
"authorized_official_last_name": "MORALES",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "401-837-5248"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.