Debra Lyn Vevea, RD LD CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2210 Issued in MN

Practice address

4625 Churchill St
Suite 110
Shoreview, MN 55126

Phone

(651) 766-3915

Fax

(651) 766-3901

NPI assigned

Apr 6, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Memorial Health Care

  • Primary Care Clinic/Center
  • Minnetonka, MN
  • NPI 1952732729
  NPD (past)

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1104115534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 CHURCHILL ST",
            "address_2": "SUITE 110",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551265868",
            "telephone_number": "652-766-3915",
            "fax_number": "651-766-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 CHURCHILL ST",
            "address_2": "SUITE 110",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "55126",
            "telephone_number": "651-766-3915",
            "fax_number": "651-766-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEVEA",
        "first_name": "DEBRA",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "RD LD CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "2210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrec Chen-Zen HWJ-Chim Vang
• Vania Complete Care LLC
• Patrick Varro, PH.D.
• Vaughn R Jefferson PSYD Mdiv LP LLC
• Veritas Counseling PLLC
• Seth A Vogel, M.D.
• Sarah Vosen, L.AC.
• Stephen Bryan Wahman, DPM
• Jamie Waldvogel
• Laurel Ann Walsh, LMFT

• Registered Dietitian in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.