Transform Men International

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

TRANSFORM MEN INTERNATIONAL

Practice address

6975 Washington Ave S
Edina, MN 55439-1511

Phone

(612) 669-1150

NPI assigned

Sep 11, 2023

Organization subpart

No

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

Authorized official

Name

Lebrent Speed

Title

President

Phone

(612) 669-1150

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1992582324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 BROOKDALE DR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6975 WASHINGTON AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554391511",
            "telephone_number": "612-669-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORM MEN INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "SPEED",
        "authorized_official_first_name": "LEBRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-669-1150"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Elaine Trace, PA-C
• Emily Cashman Tracy
• Catherine Tran, MD
• Natalie Tranchilla, M.A., L.P.C.C.
• Transcend Chiropractic & Wellness, PLLC
• Transvita Express LLC
• Kayla Jane Trapp, PA-C
• Bruce C. Trautman, MD
• Sarah Travis, RDN
• Talitha Skory Travis, M.D.

• Peer Specialist in Edina, MN
• Providers in Edina, MN by specialty
• Peer Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.