Individual provider Active NPI

Toni Renee Rakke, RN

  • Registered Nurse
  • Saint Cloud, MN
National Provider Identifier
1932817210
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
189628-4 Issued in MN
Practice address
14 7TH Ave N
Saint Cloud, MN 56303-4753
Phone
(320) 200-8752
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 189628-4 MN Primary

Addresses

Primary practice location

14 7TH Ave N
Saint Cloud, MN 56303-4753

Mailing address

3124 321St St
Saint Cloud, MN 56303-9529
Phone (320) 200-8752

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
189628-4MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Every Body Wellness Limited Current Accepting new patients

Locations

14 7th Ave N
Saint Cloud, MN 56303
Phone (320) 259-4014

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1932817210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 321ST ST",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563039529",
            "telephone_number": "320-200-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 7TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034753",
            "telephone_number": "320-200-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKKE",
        "first_name": "TONI",
        "middle_name": "RENEE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "189628-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.