Andrea Ballenthin, MS

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

10609 Pinnacle Way
Woodbury, MN 55129-4281

Phone

(612) 719-0698

NPI assigned

Jul 14, 2021

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2021.

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1740852243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10609 PINNACLE WAY",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551294281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10609 PINNACLE WAY",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551294281",
            "telephone_number": "612-719-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLENTHIN",
        "first_name": "ANDREA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Bajracharya
• Alexis Anastasia Bakalakos
• Anna Bakeman
• Aaron Bakker, DPT
• Marta Bakouris
• Dustin D Balliet, DC
• Sara Balster, OTR/L
• Ryan Ban, M.D.
• Amy Bandt, CNM
• Serena Bangasser

• All providers in Woodbury, MN
• Nutritionist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.