Active NPI
Wendy Jean Obrien, RDN, LDN
- Registered Dietitian
- Saint Paul, MN
National Provider Identifier
1265947576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 859116
- Practice address
- 45 Snelling Ave N
Saint Paul, MN 55104-6842 - Phone
- (651) 699-3438
- NPI assigned
- Dec 8, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 859116 | MN | Primary |
Addresses
Primary practice location
45 Snelling Ave N
Saint Paul, MN 55104-6842
Mailing address
45 Snelling Ave N
Saint Paul, MN 55104-6842
Phone (651) 699-3438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700024890 | Other | MN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 859116 | MN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1265947576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 SNELLING AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551046842",
"telephone_number": "651-699-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 SNELLING AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551046842",
"telephone_number": "651-699-3438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRIEN",
"first_name": "WENDY",
"middle_name": "JEAN",
"credential": "RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-08",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "859116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1700024890",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
- Kimmy S Oberstar, CPNP, PMHS
- Michele Amanda Relton Obert, MD
- Elizabeth Chinwe Obi, RN
- Shannon Obi
- Tracy Fairbanks Obrien, CNM
- Mary Anne Obst
- Occupational Health Centers of Minnesota PC
- Occupational Health Centers of Minnesota PC
- Occupational Health Centers of the Southwest, P.a.
- Ocd and Anxiety Center of Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.