Active NPI
Tiffany Flaten, M.S., LN, CNS
- Nutrition Education Nutritionist
- Maple Grove, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- Practice address
- 9325 Upland LN N Ste 310
Maple Grove, MN 55369-4451 - Phone
- (763) 300-4816
- Fax
- (763) 229-1002
- NPI assigned
- Jul 7, 2014
- Last updated
- Oct 14, 2026
- 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | NU | Primary |
Addresses
Primary practice location
9325 Upland LN N Ste 310
Maple Grove, MN 55369-4451
Mailing address
4450 31St Ave S
Fargo, ND 58104-4556
Phone (763) 300-4816
Other practice location 1
1919 University Ave W Ste 6
Saint Paul, MN 55104-3435
Phone (651) 641-1555
Other practice location 2
4655 Lannon Ave NE
Saint Michael, MN 55376-4613
Phone (763) 300-4816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871909242 | Medicaid | MN |
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)
- Not enrolled
- Credentials
- Certified Nurse Specialist, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parasol Wellness Collaborative | Current | Accepting new patients | |
| Personal Nutrition & Wellness Inc | Nutrition, Education | Current | Accepting new patients |
| Marjorie Nolan Cohn LLC | Past | Accepting new patients |
Locations
9201 Quaday Ave NE
Ste 205
Otsego, MN 55330
Phone (763) 309-1005
4450 31st Ave S
Fargo, ND 58104
Organizations & group practices 3
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.
-
dba Rock Bottom Wellness, Inc.
- Nutrition Education Nutritionist
- Fargo, ND
- NPI 1013725340
Nutrition, Education
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Otsego, MN
- NPI 1013376961
-
- Registered Dietitian
- New York, NY
- NPI 1760825160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791936000000",
"number": "1871909242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4450 31ST AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581044556",
"telephone_number": "763-300-4816",
"fax_number": "763-229-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9325 UPLAND LN N STE 310",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694451",
"telephone_number": "763-300-4816",
"fax_number": "763-229-1002"
}
],
"practiceLocations": [
{
"address_1": "1919 University Ave W Ste 6",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551043435",
"country_code": "US",
"telephone_number": "651-641-1555",
"fax_number": "651-641-0340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4655 Lannon Ave NE",
"address_purpose": "LOCATION",
"city": "Saint Michael",
"state": "MN",
"postal_code": "553764613",
"country_code": "US",
"telephone_number": "763-300-4816",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLATEN",
"first_name": "TIFFANY",
"credential": "M.S., LN, CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-07",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871909242",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.