Active NPI
Nutritional Weight and Wellness
- Registered Dietitian
- Lakeville, MN
National Provider Identifier
1407265135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2982
- Legal business name
- NUTRITIONAL WEIGHT AND WELLNESS
- Practice address
- 18480 Kenyon Ave
Lakeville, MN 55044-6911 - Phone
- (952) 641-5240
- NPI assigned
- Aug 6, 2014
- Last updated
- Aug 6, 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
- Mrs. Katie Paige Vigesaa, RD
- Title
- Registered Dietitian
- Phone
- (763) 221-1981
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2982 | MN | Primary |
Addresses
Primary practice location
18480 Kenyon Ave
Lakeville, MN 55044-6911
Mailing address
14223 Valley View Rd
301
Eden Prairie, MN 55344-1961
National Provider Directory
National Provider Directory- Tax ID family
- Nutritional Weight and Wellness
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Registered Dietitian
- Saint Paul, MN
- NPI 1700024890
Locations
18480 Kenyon Ave
Lakeville, MN 55044
Phone (612) 223-6784
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407283200000",
"number": "1407265135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14223 VALLEY VIEW RD",
"address_2": "301",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553441961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18480 KENYON AVE",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550446911",
"telephone_number": "952-641-5240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRITIONAL WEIGHT AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-06",
"last_updated": "2014-08-06",
"status": "A",
"authorized_official_last_name": "VIGESAA",
"authorized_official_first_name": "KATIE",
"authorized_official_middle_name": "PAIGE",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "763-221-1981",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "2982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeville, MN
- Northstar STS Transport LLC
- Noteable Music Therapy Services of MN, LLC
- Novacare Outpatient Rehabilitation East, Inc. (NovaCare Rehabilitation)
- Danielle Novotny, PA
- Numinds, LLC
- Teresa Kerubo Nyakundi
- Emma Grace Nykamp, PA-C
- Sydney O'Neal, PA-C
- Heather O'Neil, LMFT
- Rebekah Michele Oakland-Garey, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.