Parent Resources LLC

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

PARENT RESOURCES LLC

Doing business as

High Performance Sports Nutrition Program

Practice address

10112 Stevens Ave S
Bloomington, MN 55420-4934

Phone

(612) 990-8151

NPI assigned

Sep 8, 2017

Last updated

Mar 29, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Joseph KellyNPI 1295135515

Title

Owner / Director

Phone

(612) 990-8151

Specialties & licenses 2

Addresses

Other names 1

• High Performance Sports Nutrition Program Doing business as

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.

• Michael Kelly

  • Health Educator
  • Bloomington, MN
  • NPI 1295135515

  Technician, Other

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774742400000",
    "number": "1528586633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10112 STEVENS AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204934",
            "telephone_number": "612-990-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10112 STEVENS AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204934",
            "telephone_number": "612-990-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARENT RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2026-03-29",
        "certification_date": "2026-03-29",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "612-990-8151"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Performance Sports Nutrition Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mark Pappenfus, DC
• Zachary W Paquin, MD
• Gabriela Paramo
• Parent Education & Community Services LLC
• Harsh R Parikh, M.D.
• Park Nicollet Health Care Products
• Park Nicollet Health Care Products
• Park Therapy & Wellness, LLC
• Lindsey Rourke Park, RPH

• Other Technician in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Other Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.