Active NPI
Takoya Lynn Weber
- Registered Dietitian
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3701-29
- Practice address
- 733 W Clairemont Ave
Eau Claire, WI 54701-6117 - Phone
- (715) 838-5222
- NPI assigned
- Oct 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Registered Dietitian | 133V00000X | 3701-29 | WI | Primary |
Addresses
Primary practice location
733 W Clairemont Ave
Eau Claire, WI 54701-6117
Mailing address
PO Box 860912
Minneapolis, MN 55486-0912
Phone (507) 284-2511
Other practice location 1
1400 Bellinger St
Eau Claire, WI 54703-5222
Phone (715) 838-5222
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tweber43223@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1400 Bellinger St
Eau Claire, WI 54703-5222
Phone (715) 838-5222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3701-29 | WI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients |
Locations
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311
Interoperability endpoints
- tweber43223@ehrdirect.mayoclinicmsg.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Eau Claire, WI
- NPI 1235588831
-
- Multi-Specialty Clinic/Center
- Osseo, WI
- NPI 1083140990
-
- Rural Health Clinic/Center
- Mondovi, WI
- NPI 1174116669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1689494106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860912",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554860912",
"telephone_number": "507-284-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 W CLAIREMONT AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016117",
"telephone_number": "715-838-5222"
}
],
"practiceLocations": [
{
"address_1": "1400 Bellinger St",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547035222",
"country_code": "US",
"telephone_number": "715-838-5222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEBER",
"first_name": "TAKOYA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-10",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "3701-29",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tweber43223@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "1400 Bellinger St",
"city": "Eau Claire",
"state": "WI",
"country_code": "US",
"postal_code": "547035222",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.