EAT WELL NUTRITION THERAPY, LLC (NPI# 1255408951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255408951 |
| Entity Type | Organization |
| Organization Name | EAT WELL NUTRITION THERAPY, LLC |
| Practice Address |
202 1/2 N Cedar Ave Owatonna MN 55060-2392 |
| Mailing Address |
Po Box 913 Owatonna MN 55060-0913 |
| Practice Telephone | 5073900229 |
| Mailing Telephone | 5073900229 |
| Mailing Fax Number | 5074513322 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | LOUANNE P. KAUPA (OWNER) |
| Authorized Official Telephone | 5073900229 |
| Authorized Official Credential | RDN, LN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
N122 | MN | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD | 342G5EA | 01 |
| MN | HEALTHPARTNERS | 118175 | 01 |
| MN | UCARE | 136634 | 01 |
| MN | MEDICA | 63-50011 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 123 W Broadway St, Owatonna, MN 550602301 | 5073900229 | 5074513322 |
| Street Address |
202 1/2 N CEDAR AVE |
| City | OWATONNA |
| State | MN |
| Zip Code | 55060-2392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932197225 | Louanne P. Kaupa | Dietitian, Registered | 202 1/2 N Cedar Ave, Suite C, Owatonna, MN 55060-2392 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669936480 | Lee Joseph Bakewell | Nurse Practitioner | 2200 Nw 26th St, Owatonna, Owatonna, MN 55060 | 2019-01-25 |
| 1275028227 | Karen Brennhofer | Audiologist | 2200 Nw 26th St Apt 309, Owatonna, MN 55060 | 2018-06-22 |
| 1801326418 | Katharyn Kristin Stricklin | Registered Nurse | 1961 Premier Drive, Suite 340 Mankato, Mankato, MN 55060 | 2017-06-15 |
| 1134666753 | Holly Christianson | Social Worker | 2575 Harvest Lane Nw, Owatonna, MN 55060 | 2017-01-20 |
| 1346613031 | Birchwood Cottages | Assisted Living Facility | 1905 Austin Road, Owatonna, MN 55060 | 2015-11-04 |
| 1881080067 | Cory Michael Kopas | Chiropractor | 130 26th Street Nw, Owatonna, MN 55060 | 2015-04-14 |
| 1528456613 | Quality Home Health Care Inc. | Home Health | 201 East Front Street, Owatonna, MN 55060 | 2014-12-26 |
| 1194017624 | Amy Louise Haycraft | Nurse Practitioner | South Central Human Relations Center, 610 Florence Ave, Owatonna, MN 55060 | 2011-05-02 |
| 1710123971 | Rahn Optometry Inc | Optometrist | 1130 W. Frontage Rd, Owatonna, MN 55060 | 2008-12-18 |
| 1063616993 | Michael John Dickman | Dentist | 1414 S Oak Ave Suite Five, Owatonna, MN 55060 | 2007-06-13 |
| Find all providers in zip 55060 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073085437 | Sarah Pavelka | Dietitian, Registered | 8634 Carriage Hill Ct, Savage, MN 55378-2373 | 2018-12-26 |
| 1558884791 | Mn Weight Control Centers Inc. | Dietitian, Registered | 3495 Northdale Blvd Nw Ste 101, Coon Rapids, MN 55448-6713 | 2017-07-19 |
| 1366890956 | Nutrition Proportion | Dietitian, Registered | 1238 Woodley St E, Northfield, MN 55057-2956 | 2016-05-25 |
| 1740229095 | Jessica Quinonez-weislow | Dietitian, Registered | 880 Blue Gentian Rd, Suite 150, Eagan, MN 55121-1669 | 2006-06-05 |
| 1699714923 | Sara Johnson | Dietitian, Registered | 9855 Hospital Dr Ste 102, Maple Grove, MN 55369-4648 | 2006-06-05 |
| 1609334739 | Susan Kay Raatz | Dietitian, Registered | 1539 Grand Ave, Saint Paul, MN 55105-2229 | 2019-03-07 |
| 1821594656 | Bronwyn Lissa Knaebe | Dietitian, Registered | 1185 Town Centre Dr Ste 220, Eagan, MN 55123-1186 | 2018-04-02 |
| 1649620592 | Amy Luther | Dietitian, Registered | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2016-06-21 |
| 1124406848 | Heather Erickson | Dietitian, Registered | 320 E Main St, Crosby, MN 56441-1645 | 2015-05-14 |
| 1184986010 | Kayley L Gamm | Dietitian, Registered | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2012-06-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.