Active NPI
Pro Nutrition Solutions
- Registered Dietitian
- Saint Paul, MN
National Provider Identifier
1396342010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- PRO NUTRITION SOLUTIONS
- Practice address
- 565 Mount Curve Blvd
Saint Paul, MN 55116-1167 - Phone
- (651) 485-6276
- NPI assigned
- Oct 6, 2020
- 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
- Heidi Gunderson, RDN
- Title
- Registered Dietitian Nutritionist
- Phone
- (651) 485-6276
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
565 Mount Curve Blvd
Saint Paul, MN 55116-1167
Mailing address
565 Mount Curve Blvd
Saint Paul, MN 55116-1167
Phone (651) 485-6276
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": "1601942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601942400000",
"number": "1396342010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 MOUNT CURVE BLVD",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551161167",
"telephone_number": "651-485-6276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 MOUNT CURVE BLVD",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551161167",
"telephone_number": "651-485-6276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO NUTRITION SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-06",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A",
"authorized_official_last_name": "GUNDERSON",
"authorized_official_first_name": "HEIDI",
"authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
"authorized_official_telephone_number": "651-485-6276",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"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 Oct 6, 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.