Autumn Enloe Nutrition

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

AUTUMN ENLOE NUTRITION

Practice address

14436 57TH St N
Oak Park Heights, MN 55082

Phone

(651) 504-3118

NPI assigned

Feb 7, 2022

Last updated

Feb 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Autumn Nicole Enloe, MS, RD, LD, CLTNPI 1134852783

Title

Registered Dietitian

Phone

(651) 504-3118

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, and the practitioner matching its NPPES authorized official.

• Autumn Enloe, MS,RD,LD,CLT

  • Registered Dietitian
  • Oak Park Heights, MN
  • NPI 1134852783

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1114671336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14436 57TH ST N.",
            "city": "OAK PARK HEIGHTS",
            "state": "MN",
            "postal_code": "55082",
            "telephone_number": "651-504-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14436 57TH ST N",
            "city": "OAK PARK HEIGHTS",
            "state": "MN",
            "postal_code": "55082",
            "telephone_number": "651-504-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN ENLOE NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "ENLOE",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "651-504-3118",
        "authorized_official_credential": "MS, RD, LD, CLT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adap Consulting (Care Crossings)
• Sara Marie Anderson, RDH
• Michele E. Andrews, DOCTORATE
• Gina Marie Ashley, MA
• Molly Augustine
• Jaclyn Bailey, MD
• Bruce J Bartie, D.O.
• Aaron Benson, A.T.C.
• Virginia Cook Borrman, PT
• Austin A Boyer, DPT

• Registered Dietitian in Oak Park Heights, MN
• Providers in Oak Park Heights, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.