Organization Active NPI

Symmetry Health and Wellness LLC

  • Clinic/Center
  • Edina, MN
National Provider Identifier
1700638079
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SYMMETRY HEALTH AND WELLNESS LLC
Practice address
7450 France Ave S Ste 240
Edina, MN 55435-4792
Phone
(763) 227-5975
NPI assigned
Apr 2, 2024
Last updated
Apr 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Patricia Lynn Stock, NURSE PRACTITIONERNPI 1619109410
Title
Owner
Phone
(763) 227-5975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

7450 France Ave S Ste 240
Edina, MN 55435-4792

Mailing address

5408 Queen Ave N
Brooklyn Center, MN 55430-2948
Phone (763) 227-5975

Other names 1

  • NA Other name

National Provider Directory

National Provider Directory

Locations

7450 France Ave S
Ste 240
Minneapolis, MN 55435
Phone (612) 353-4238

Practitioners & affiliated clinicians

Practitioners 1

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": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1700638079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 QUEEN AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302948",
            "telephone_number": "763-227-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 FRANCE AVE S STE 240",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354792",
            "telephone_number": "763-227-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMMETRY HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "STOCK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-227-5975",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.