RENAYE WYGANOWSKI


Address: 1430 Highway 96 E, White Bear Lake, MN 55110-3653
Phone: 6516532100

RENAYE WYGANOWSKI (NPI# 1386011849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386011849
Entity Type Individual
Full Name RENAYE WYGANOWSKI
Credential RD, LD
Practice Address 1430 Highway 96 E
White Bear Lake
MN 55110-3653
Mailing Address 816 Garceau Ln
Vadnais Heights
MN 55127-7145
Practice Telephone 6516532100
Mailing Telephone 6512384558
Enumeration Date 2015-08-31
Last Update Date 2015-08-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 2138 MN Dietary & Nutritional Service Providers

Office Location

Street Address 1430 HIGHWAY 96 E
City WHITE BEAR LAKE
State MN
Zip Code 55110-3653

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881626414 Jennifer A Ramsey Advanced Practice Midwife 1430 Highway 96 E, White Bear Lake, MN 55110 2006-07-06
1316559552 Amiot Spine Care, Pllc Clinic/Center 1430 Highway 96 E, White Bear Lake, MN 55110-3653 2020-08-19
1104343607 Laura Anne Chilson Registered Nurse 1430 Highway 96 E, White Bear Lake, MN 55110 2017-08-24
1164966123 Emily Scollon Registered Nurse 1430 Highway 96 E, White Bear Lake, MN 55110-3653 2016-12-10
1699126169 Tou Lee Xiong Family Medicine 1430 Highway 96 E, White Bear Lake, MN 55110-3653 2016-06-27
1669882791 Jenna Keller Family Medicine 1430 Highway 96 E, White Bear Lake, MN 55110-3653 2014-04-28
1760802151 Kathleen Elizabeth Bauer Pediatrics 1430 Highway 96 E, White Bear Lake, MN 55110-3653 2014-04-23
1134547847 William Wedin Pediatrics 1430 Highway 96 E, White Bear Lake, MN 55110-3653 2014-03-31
1922441278 Russell Spingarn Family Medicine 1430 Highway 96 E, White Bear Lake, MN 55110-3653 2013-04-16
1699015024 Roopa Sharma Pediatrics 1430 Highway 96 E, White Bear Lake, MN 55110-3653 2013-02-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467071084 St. Catherine University School Based Health Clinic Nurse Practitioner 5045 Division Ave, White Bear Lake, MN 55110 2020-04-14
1922450618 Lisa Marie Thatcher Podiatrist 4653 White Bear Pkwy., St. Paul, MN 55110 2016-07-06
1558725598 White Bear Dentists, PC Dentist 1970 Buerkle Road, White Bear Lake, MN 55110 2016-04-06
1124486246 Julie Blaske Counselor 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 2016-02-03
1851761514 Supervalu Pharmacies Inc Durable Medical Equipment & Medical Supplies 1920 Buerkle Rd, White Bear Lake, MN 55110 2015-10-06
1821496969 Leah Eichmiller Acupuncturist 2183 3rd Street, C/o Indulge Salon, White Bear Lake, MN 55110 2014-12-05
1447672084 Ashley Rath Chiropractor 1247 Gun Club Rd., White Bear Lake, MN 55110 2014-01-16
1790121291 Advanced Medical Home Care, LLC Home Health 2555 County Road E East, Suite 101, White Bear Lake, MN 55110 2013-05-11
1134468465 Emergency Physicians Professional Association Clinic/Center 1159 E. County Road E, Vadnais Heights, MN 55110 2013-02-06
1639444284 Rebecca Lynn Blaede Counselor 4858 Banning Avenue, White Bear Lake, MN 55110 2012-03-15
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477180073 Morgan Lorraine Cote Dietitian, Registered 1900 Webber St, White Bear Lake, MN 55110-3407 2020-03-24
1669720660 Erin Locante Darosa Dietitian, Registered 5888 Pintail Ln, White Bear Lake, MN 55110-8709 2012-08-22
1992049365 In-tune Wellness LLC Dietitian, Registered 4422 White Bear Ave N, White Bear Lake, MN 55110-3475 2012-11-25
1417195363 Sara Lynn Ruiz Dietitian, Registered 4422 White Bear Ave N, White Bear Lake, MN 55110-3475 2009-01-30
1053371062 Diane J Lund Dietitian, Registered 1430 Hwy 96 E, Mail Stop 32300a, White Bear Lake, MN 55110-7693 2006-03-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215538202 Madison Merry Holm Dietitian, Registered 2494 Morrison St, Little Canada, MN 55117-1623 2020-11-05
1083213375 Suzanna Steen Dietitian, Registered 2680 County Road 90, Independence, MN 55359-9764 2020-10-19
1780291245 Meghan Kathleen Nilan Dietitian, Registered 7987 Drake Bay, Woodbury, MN 55125-1577 2020-09-29
1275148785 Breeanna Lynn Goetz Dietitian, Registered 25755 655th St, Kasson, MN 55944-1896 2020-09-11
1194330860 Kari Houge Dietitian, Registered 8960 York Rd S, Bloomington, MN 55431-1819 2020-09-10
1689289241 Alexis Mae Guttormson Dietitian, Registered 1057 Grandview Ave W, Roseville, MN 55113-4438 2020-09-10
1194330969 Alyssa Marie Bossle Dietitian, Registered 4914 River Wood Dr, Savage, MN 55378-4600 2020-09-09
1538773528 Emily Weber Dietitian, Registered 5400 Shoreview Ave, Minneapolis, MN 55417-1918 2020-09-07
1881208049 Cassandra Grace Hosfield Dietitian, Registered 9128 Florida Ave N, Brooklyn Park, MN 55445-1649 2020-09-04
1841803624 Leah Anna Marie Miskowiec Dietitian, Registered 2896 88th Ave Ne, Blaine, MN 55449-6761 2020-08-31
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Competitor

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City WHITE BEAR LAKE
Zip Code 55110

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Dataset Information

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.

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