NPIMap

Organization Active NPI

Fueling Performance, LLC

  • Registered Dietitian
  • Saint Paul, MN
National Provider Identifier
1306069489
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2214 Issued in MN
Legal business name
FUELING PERFORMANCE, LLC
Practice address
225 Smith Ave N Ste 301
Saint Paul, MN 55102-2534
Phone
(651) 288-5180
Fax
(651) 288-5188
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Brian Wayne Zehetner, MS,RD,CSCS
Title
Nutrition Consultant
Phone
(612) 242-1391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 2214 MN Primary

Addresses

Primary practice location

225 Smith Ave N Ste 301
Saint Paul, MN 55102-2534

Mailing address

701 Addison Alcove
Woodbury, MN 55129-8539
Phone (612) 242-1391

National Provider Directory

National Provider Directory

Locations

225 Smith Ave N
Ste 301
Saint Paul, MN 55102
Phone (651) 288-5180

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306069489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ADDISON ALCOVE",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551298539",
            "telephone_number": "612-242-1391",
            "fax_number": "651-998-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SMITH AVE N STE 301",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022534",
            "telephone_number": "651-288-5180",
            "fax_number": "651-288-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUELING PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZEHETNER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "NUTRITION CONSULTANT",
        "authorized_official_telephone_number": "612-242-1391",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS,RD,CSCS"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "2214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

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