Active NPI
Sonja Sunny Ray, C.C.N., L.N., C.T.N.
- Nutritionist
- Minnetonka, MN
National Provider Identifier
1366643934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- N147
- Practice address
- 4509 Saddlewood Dr
Minnetonka, MN 55345-2656 - Phone
- (952) 936-9029
- Fax
- (952) 936-9132
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | N147 | FM | Primary |
Addresses
Primary practice location
4509 Saddlewood Dr
Minnetonka, MN 55345-2656
Mailing address
4509 Saddlewood Dr
Minnetonka, MN 55345-2656
Phone (952) 936-9029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N147 | FM | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366643934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4509 SADDLEWOOD DR",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553452656",
"telephone_number": "952-936-9029",
"fax_number": "952-936-9132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4509 SADDLEWOOD DR",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553452656",
"telephone_number": "952-936-9029",
"fax_number": "952-936-9132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "SONJA",
"middle_name": "SUNNY",
"name_prefix": "Dr.",
"credential": "C.C.N., L.N., C.T.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "FM",
"license": "N147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.