Northland Nutrition Consulting, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NORTHLAND NUTRITION CONSULTING, LLC

Practice address

4691 Becida Rd SW
Bemidji, MN 56601-9680

Phone

(218) 368-4911

Fax

(218) 309-5994

NPI assigned

Apr 28, 2022

Organization subpart

No

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

Authorized official

Name

Kelly Jo Zellmann, RDNNPI 1851685499

Title

Owner/Dietitian

Phone

(218) 368-4911

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Jo Zellmann, R.D.

  • Registered Dietitian
  • Bemidji, MN
  • NPI 1851685499

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1972248516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4691 BECIDA RD SW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566019680",
            "telephone_number": "218-368-4911",
            "fax_number": "218-309-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4691 BECIDA RD SW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566019680",
            "telephone_number": "218-368-4911",
            "fax_number": "218-309-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND NUTRITION CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "ZELLMANN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER/DIETITIAN",
        "authorized_official_telephone_number": "218-368-4911",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.