Renewed Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

RENEWED NUTRITION LLC

Practice address

5201 Eden Ave Ste 300
Edina, MN 55436-2315

Phone

(320) 293-2189

NPI assigned

Nov 8, 2023

Organization subpart

No

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

Authorized official

Name

Bailey Weirens, RD, LDNPI 1821597824

Title

Registered Dietitian/Owner

Phone

(320) 293-2189

Specialties & licenses 1

Addresses

Practitioners 1

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

• Bailey Ann Weirens, RD

  • Registered Dietitian
  • Edina, MN
  • NPI 1821597824

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1104690486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 CHOWEN AVE S APT 305",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554165449",
            "telephone_number": "320-293-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 EDEN AVE STE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554362315",
            "telephone_number": "320-293-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "WEIRENS",
        "authorized_official_first_name": "BAILEY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/OWNER",
        "authorized_official_telephone_number": "320-293-2189",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.