Longevity Weight Management Clinic

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

Legal business name

LONGEVITY WEIGHT MANAGEMENT CLINIC

Practice address

16273 Baywood Lane
Eden Prairie, MN 55346-4302

Phone

(612) 327-2228

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 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

Natalie Louise Ikeman, PA-C

Title

Ceo

Phone

(612) 327-2228

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1588568505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16526 W 78TH ST STE 188",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553464302",
            "telephone_number": "612-327-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16273 BAYWOOD LANE",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553464302",
            "telephone_number": "612-327-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY WEIGHT MANAGEMENT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "IKEMAN",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-327-2228",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sopo Lin, M.D.
• Lilliana Barbara Caridad Lind, DPT
• Spencer Lindholm, D.C.
• Jay Long
• Laura Deree Long, MS, AGPCNP
• Deborah G Longley, MD
• Tyler E Loomer, DO
• Lesly Lopez
• Adam Alexander Lord, MD
• Anna Kate Love, MS CF-SLP

• Obesity Medicine (Family Medicine) Physician in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Obesity Medicine (Family Medicine) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.