Active NPI
Angel Wings Wellness and Weightloss LLC
- Clinic/Center
- Owatonna, MN
National Provider Identifier
1922834142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ANGEL WINGS WELLNESS AND WEIGHTLOSS LLC
- Practice address
- 202 N Cedar Ave Ste 1
Owatonna, MN 55060-2306 - Phone
- (952) 208-5832
- NPI assigned
- Sep 12, 2024
- 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
- Elizabeth Christine Brown
- Title
- Owner, Authorized Official
- Phone
- (507) 571-9696
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
202 N Cedar Ave Ste 1
Owatonna, MN 55060-2306
Mailing address
2501 Chatham Rd # 8316
Springfield, IL 62704-4188
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738281600000",
"number": "1922834142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 CHATHAM RD # 8316",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627044188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 N CEDAR AVE STE 1",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550602306",
"telephone_number": "952-208-5832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGEL WINGS WELLNESS AND WEIGHTLOSS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-12",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "CHRISTINE",
"authorized_official_title_or_position": "OWNER, AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "507-571-9696"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owatonna, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.