Active NPI
Lucy Chermak LLC
- Registered Dietitian
- Minneapolis, MN
National Provider Identifier
1306530233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- LUCY CHERMAK LLC
- Practice address
- 400 S 4TH Street
Ste 410 PMB 89104
Minneapolis, MN 55415 - Phone
- (651) 206-2650
- NPI assigned
- Jun 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lucy Chermak, RD, LD
- Title
- Owner/Registered Dietitian
- Phone
- (651) 206-2650
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
400 S 4TH Street
Ste 410 PMB 89104
Minneapolis, MN 55415
Mailing address
400 S 4TH Street
Ste 410 PMB 89104
Minneapolis, MN 55415
Phone (651) 206-2650
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1685923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685923200000",
"number": "1306530233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S 4TH STREET",
"address_2": "STE 410 PMB 89104",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55415",
"telephone_number": "651-206-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S 4TH STREET",
"address_2": "STE 410 PMB 89104",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55415",
"telephone_number": "651-206-2650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCY CHERMAK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-05",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A",
"authorized_official_last_name": "CHERMAK",
"authorized_official_first_name": "LUCY",
"authorized_official_title_or_position": "OWNER/REGISTERED DIETITIAN",
"authorized_official_telephone_number": "651-206-2650",
"authorized_official_credential": "RD, LD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.