Active NPI
Radiant Health, PLLC
Doing business as Concierge Medicine of Minnesota
- Family Medicine Physician
- Rosemount, MN
National Provider Identifier
1023893831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- RADIANT HEALTH, PLLC
- Doing business as
- Concierge Medicine of Minnesota
- Practice address
- 13419 Avila Ave
Rosemount, MN 55068-2170 - Phone
- (864) 335-9020
- NPI assigned
- Aug 29, 2023
- Last updated
- Sep 15, 2023
- 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
- Adrianne Westmoreland, DO
- Title
- Owner/Provider
- Phone
- (864) 335-9020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
13419 Avila Ave
Rosemount, MN 55068-2170
Mailing address
PO Box 304
Rosemount, MN 55068-0304
Phone (218) 464-3564
Other names 1
- Concierge Medicine of Minnesota
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694736000000",
"number": "1023893831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 304",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550680304",
"telephone_number": "218-464-3564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13419 AVILA AVE",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550682170",
"telephone_number": "864-335-9020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIANT HEALTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-29",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A",
"authorized_official_last_name": "WESTMORELAND",
"authorized_official_first_name": "ADRIANNE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "864-335-9020",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Concierge Medicine of Minnesota",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Concierge Medicine of Minnesota",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rosemount, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.