Organization Active NPI

Wellway LLC

Doing business as WellWay

  • Registered Dietitian
  • Plymouth, MN
National Provider Identifier
1669281747
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
WELLWAY LLC
Doing business as
WellWay
Practice address
2905 Northwest Blvd Ste 230
Plymouth, MN 55441-2644
Phone
(612) 367-4824
NPI assigned
Jan 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Sara Parker
Title
Director of Corporate Operations
Phone
(651) 208-1275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

2905 Northwest Blvd Ste 230
Plymouth, MN 55441-2644

Mailing address

2905 Northwest Blvd Ste 230
Plymouth, MN 55441-2644
Phone (612) 367-4824

Other names 1

  • WellWay Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1669281747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 NORTHWEST BLVD STE 230",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412644",
            "telephone_number": "612-367-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 NORTHWEST BLVD STE 230",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412644",
            "telephone_number": "612-367-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLWAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "DIRECTOR OF CORPORATE OPERATIONS",
        "authorized_official_telephone_number": "651-208-1275"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellWay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.