Organization Active NPI

In-Tune Wellness LLC

  • Registered Dietitian
  • White Bear Lake, MN
National Provider Identifier
1992049365
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2776 Issued in MN
Legal business name
IN-TUNE WELLNESS LLC
Practice address
4422 White Bear Ave N
White Bear Lake, MN 55110-3475
Phone
(612) 354-6625
Fax
(651) 342-8044
NPI assigned
Nov 25, 2012
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Sara Lynn Ruiz, RD, LDNPI 1417195363
Title
Registered Dietitian- Owner
Phone
(612) 354-6625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2776 MN Primary

Addresses

Primary practice location

4422 White Bear Ave N
White Bear Lake, MN 55110-3475

Mailing address

2110 Fremont Ave E
Saint Paul, MN 55119-4018
Phone (612) 354-6625

National Provider Directory

National Provider Directory

Locations

1821 Saint Clair Ave
Saint Paul, MN 55105
Phone (651) 243-0943

783 Radio Dr
Ste 106
Woodbury, MN 55125
Phone (612) 354-6625

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1353801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1992049365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 FREMONT AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194018",
            "telephone_number": "612-354-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 WHITE BEAR AVE N",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103475",
            "telephone_number": "612-354-6625",
            "fax_number": "651-342-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-TUNE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-25",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN- OWNER",
        "authorized_official_telephone_number": "612-354-6625",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "2776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.