Organization Active NPI

Core Health & Nutrition LLC

Doing business as Core Health Nutrition & Yoga

  • Registered Dietitian
  • Bemidji, MN
National Provider Identifier
1316340318
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3378 Issued in MN
Legal business name
CORE HEALTH & NUTRITION LLC
Doing business as
Core Health Nutrition & Yoga
Practice address
1900 Division St W Unit 4
Bemidji, MN 56601-6397
Phone
(218) 556-9089
NPI assigned
Oct 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Jessica Carter, MS, RD, LD
Title
Registered Dietitian
Phone
(218) 556-9089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 3378 MN Primary

Addresses

Primary practice location

1900 Division St W Unit 4
Bemidji, MN 56601-6397

Mailing address

1900 Division St W Unit 4
Bemidji, MN 56601-6397
Phone (218) 556-9089

Other names 1

  • Core Health Nutrition & Yoga Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL corehealthbemidji@gmail.com

National Provider Directory

National Provider Directory

Locations

677 Anne St NW
Ste G
Bemidji, MN 56601
Phone (218) 333-8833

1900 Division St W
Unit 4
Bemidji, MN 56601
Phone (218) 556-6994

Practitioners & affiliated clinicians

Practitioners 3

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": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1316340318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 DIVISION ST W UNIT 4",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566016397",
            "telephone_number": "218-556-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 DIVISION ST W UNIT 4",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566016397",
            "telephone_number": "218-556-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE HEALTH & NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "218-556-9089",
        "authorized_official_credential": "MS, RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "3378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "corehealthbemidji@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email Address",
            "address_1": "1900 Division St W Unit 4",
            "city": "Bemidji",
            "state": "MN",
            "country_code": "US",
            "postal_code": "566016397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Core Health Nutrition & Yoga",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.