Holly Wruck, R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3319 Issued in MN

Practice address

7201 Metro Blvd Ste 550
Edina, MN 55439-1353

Phone

(612) 234-5304

NPI assigned

Dec 21, 2015

Last updated

Jan 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holly Wruck Inc

  • Registered Dietitian
  • Edina, MN
  • NPI 1962215004

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Emily Program PC

  dba The Emily Program

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1154696698
  NPD (past)

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1659736445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 1ST ST UNIT 1704",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012571",
            "telephone_number": "763-670-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 METRO BLVD STE 550",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554391353",
            "telephone_number": "612-234-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRUCK",
        "first_name": "HOLLY",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "3319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa M Wright, MD
• Kevin C Wright, MD
• Louise G. Wright, MD
• Rachel Marie Wright, PT, DPT
• Jill Wruble, DO
• Anthony Jian Wu, DO
• George Ming Jen Wu, M.D.
• Natalie Duan Wu, M.D.
• Amy Lynne Wudel, MD
• Justin Michael Wudel, MD

• Registered Dietitian in Edina, MN
• Providers in Edina, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.