Active NPI
Colleen A Lofgren, RDN, LD
- Registered Dietitian
- Minnetonka, MN
National Provider Identifier
1437528312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3546
- Practice address
- 12455 Ridgedale Dr
Minnetonka, MN 55305-1786 - Phone
- (952) 314-7035
- NPI assigned
- Sep 21, 2015
- Last updated
- Sep 21, 2015
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3546 | MN | Primary |
Addresses
Primary practice location
12455 Ridgedale Dr
Minnetonka, MN 55305-1786
Mailing address
3421 Hennepin Ave
Minneapolis, MN 55408-3856
Phone (612) 718-0719
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 |
|---|---|---|---|
| 3546 | MN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1437528312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 HENNEPIN AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554083856",
"telephone_number": "612-718-0719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12455 RIDGEDALE DR",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051786",
"telephone_number": "952-314-7035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOFGREN",
"first_name": "COLLEEN",
"middle_name": "A",
"credential": "RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-21",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "3546",
"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 Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.