Active NPI
Core Health & Nutrition LLC
Doing business as Core Health Nutrition & Yoga
- Registered Dietitian
- Bemidji, MN
National Provider Identifier
1316340318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3378
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | corehealthbemidji@gmail.com |
National Provider Directory
National Provider DirectoryLocations
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.
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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.