Organization Active NPI

Lightnetwork Inc

  • Registered Dietitian
  • North Branch, MN
National Provider Identifier
1164359121
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
LIGHTNETWORK INC
Practice address
38868 12TH Ave
North Branch, MN 55056-6658
Phone
(320) 309-8913
NPI assigned
May 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Reid Bradley
Title
Ceo
Phone
(320) 309-8913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

38868 12TH Ave
North Branch, MN 55056-6658

Mailing address

38868 12TH Ave
North Branch, MN 55056-6658
Phone (320) 309-8913

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1164359121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38868 12TH AVE",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566658",
            "telephone_number": "320-309-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38868 12TH AVE",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566658",
            "telephone_number": "320-309-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTNETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "REID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-309-8913"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Branch, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.