Organization Active NPI

Nutritional Weight & Wellness, Inc.

  • Nutritionist
  • Saint Paul, MN
National Provider Identifier
1700024890
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
N150 Issued in MN
Legal business name
NUTRITIONAL WEIGHT & WELLNESS, INC.
Practice address
45 Snelling Ave N
Saint Paul, MN 55104
Phone
(651) 699-3438
Fax
(651) 695-0191
NPI assigned
Jan 27, 2009
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Darlene Kvist, CNS, LN
Title
Director
Phone
(651) 699-3438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X N150 MN Primary

Addresses

Primary practice location

45 Snelling Ave N
Saint Paul, MN 55104

Mailing address

45 Snelling Ave N
Saint Paul, MN 55104-6842
Phone (651) 699-3438

Other practice location 1

708 Cleveland Ave S
Saint Paul, MN 55116-1319
Phone (651) 699-3438

Other identifiers 1

IdentifierTypeStateIssuer
02D10NUOtherMNBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171127001217 MN Part B Supplier - Clinic/Group Practice 3577820703 Receives reassigned benefits from 2 practitioners
Practice locations: Eagan, MN; Maple Grove, MN; Saint Paul, MN

National Provider Directory

National Provider Directory
Tax ID family
Nutritional Weight and Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3430 Denmark Ave
Eagan, MN 55123
Phone (952) 232-4990

7942 Mitchell Rd
Eden Prairie, MN 55344
Phone (952) 641-5235

9509 Blackoaks Ln N
Maple Grove, MN 55311
Phone (763) 657-1730

123 Village Center Dr
North Oaks, MN 55127
Phone (651) 773-0000

3420 Denmark Ave
Saint Paul, MN 55123

45 Snelling Ave N
Saint Paul, MN 55104
Phone (651) 326-5650

708 Cleveland Ave S
Saint Paul, MN 55116
Phone (651) 699-3438

1250 Wayzata Blvd E
Wayzata, MN 55391
Phone (651) 699-3438

1605 Queens Dr
Ste 104
Woodbury, MN 55125

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1700024890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SNELLING AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046842",
            "telephone_number": "651-699-3438",
            "fax_number": "651-695-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SNELLING AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-699-3438",
            "fax_number": "651-695-0191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 Cleveland Ave S",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551161319",
            "country_code": "US",
            "telephone_number": "651-699-3438",
            "fax_number": "651-695-0191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NUTRITIONAL WEIGHT & WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "KVIST",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-699-3438",
        "authorized_official_credential": "CNS, LN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MN",
            "license": "N150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02D10NU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.