Active NPI
Willow Wellbeing, LLC
- Registered Dietitian
- Minneapolis, MN
National Provider Identifier
1750192050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- WILLOW WELLBEING, LLC
- Practice address
- 6417 Penn Ave S Ste 7-1440
Minneapolis, MN 55423-1186 - Phone
- (763) 233-1298
- NPI assigned
- Jan 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michaeela Brands, RD, LD
- Title
- Co-Owner
- Phone
- (763) 233-1298
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
6417 Penn Ave S Ste 7-1440
Minneapolis, MN 55423-1186
Mailing address
6417 Penn Ave S Ste 7-1440
Minneapolis, MN 55423-1186
National Provider Directory
National Provider DirectoryLocations
6417 Penn Ave S
Ste 71440
Minneapolis, MN 55423
Phone (763) 233-1298
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736899200000",
"number": "1750192050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6417 PENN AVE S STE 7-1440",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554231186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6417 PENN AVE S STE 7-1440",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554231186",
"telephone_number": "763-233-1298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLOW WELLBEING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-15",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A",
"authorized_official_last_name": "BRANDS",
"authorized_official_first_name": "MICHAEELA",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "763-233-1298",
"authorized_official_credential": "RD, LD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.