Organization Active NPI

Radiant Health, PLLC

Doing business as Concierge Medicine of Minnesota

  • Family Medicine Physician
  • Rosemount, MN
National Provider Identifier
1023893831
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.