Active NPI
Bailey Ann Weirens, RD
- Registered Dietitian
- Edina, MN
National Provider Identifier
1821597824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3880
- Practice address
- 5201 Eden Ave Ste 300
Edina, MN 55436-2315 - Phone
- (508) 296-0862
- NPI assigned
- Feb 5, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3880 | MN | Primary |
Addresses
Primary practice location
5201 Eden Ave Ste 300
Edina, MN 55436-2315
Mailing address
3144 Chowen Ave S Apt 305
Minneapolis, MN 55416-5449
Phone (320) 293-2189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3880 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renewed Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
5201 Eden Ave
Ste 300
Edina, MN 55436
Phone (320) 469-7889
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1821597824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3144 CHOWEN AVE S APT 305",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554165449",
"telephone_number": "320-293-2189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 EDEN AVE STE 300",
"city": "EDINA",
"state": "MN",
"postal_code": "554362315",
"telephone_number": "508-296-0862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIRENS",
"first_name": "BAILEY",
"middle_name": "ANN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-05",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "3880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.