Lea Wetzell, L.N, C.N.S

Primary specialty

NutritionistTaxonomy code 133N00000X

License

N203 Issued in MN

Practice address

4422 White Bear Ave N
White Bear Lake, MN 55110-3475

Phone

(651) 287-8780

Fax

(651) 287-8786

NPI assigned

Sep 3, 2014

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Certified Nurse Specialist

Practice roles

Locations

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

• Synergy Family Physicians, P.a.

  • Family Medicine Physician
  • White Bear Lake, MN
  • NPI 1548575434
  NPD

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1275933715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 WHITE BEAR AVE N",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103475",
            "telephone_number": "651-287-8780",
            "fax_number": "651-287-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 WHITE BEAR AVE N",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103475",
            "telephone_number": "651-287-8780",
            "fax_number": "651-287-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZELL",
        "first_name": "LEA",
        "credential": "L.N, C.N.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MN",
            "license": "N203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Frances Weinbender, MSW, LICSW
• Malia Weinhagen
• Nancy Kay Sheely Weirens, L.AC., MS
• Kaya Werner, LADC
• Megan Westerheide, LICSW
• White Bear Area Senior Progam Isd 624
• White Bear Dentists, PC
• White Bear Foot and Ankle Clinic Inc
• White Bear Foot and Ankle Clinic, Inc.
• White Bear Foot Clinic Inc

• Nutritionist in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Nutritionist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.