Autumn Enloe, MS,RD,LD,CLT

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3441 Issued in MN

Practice address

14436 57TH St N
Oak Park Heights, MN 55082

Phone

(651) 504-3118

NPI assigned

Jul 1, 2022

Last updated

Jul 1, 2022By the provider in NPPES

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)

Not enrolled

Credentials

Master of Science

Practice roles

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

• Autumn Enloe Nutrition

  • Registered Dietitian
  • Oak Park Heights, MN
  • NPI 1114671336

  Dietitian, Registered

  NPD Authorized official
• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1134852783",
    "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": "320-237-1303"
        },
        {
            "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": {
        "last_name": "ENLOE",
        "first_name": "AUTUMN",
        "credential": "MS,RD,LD,CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "3441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Michael Deyak, PT
• Jason Paul Dieterle, DO
• Dignified Dental
• Kaylee Dittberner, RPH, PHARMD
• Christian Michael Dubois, MD
• Kate T Erickson, PAC
• Kalli Jo Fanning, PT
• Margaret M Faust, PA-C
• Bonnie Foster, OTR/L, CLT
• Grace Fox

• 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 Jul 1, 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.