MACKENZIE WOLFE


Address: 4408 Gilford Dr, Edina, MN 55435-4154
Phone: 9525671293

MACKENZIE WOLFE (NPI# 1720615909) 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) 1720615909
Entity Type Individual
Full Name MACKENZIE WOLFE
Credential RDN, LD
Practice Address 4408 Gilford Dr
Edina
MN 55435-4154
Practice Telephone 9525671293
Mailing Telephone 9525671293
Enumeration Date 2020-03-26
Last Update Date 2020-03-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 4309 MN Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1717 Pennsylvania Ave Nw Ste 1025, Washington, DC 200063951 8005502157

Other Providers MACKENZIE WOLFE

NPI Name Taxonomy Address Enumeration
1679975809 Mackenzie B Wolfe Physical Therapist 71 Hamil Ct Nw, Cartersville, GA 30120-7600 2014-09-18

Office Location

Street Address 4408 GILFORD DR
City EDINA
State MN
Zip Code 55435-4154

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104433416 Evy Christine Claussen Social Worker 6363 France Ave. S., Edina, MN 55435 2020-09-30
1508496621 Samantha Jean Mcgough Lamere Physician Assistant 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 2020-01-16
1659920460 Jand. Inc. Eyewear Supplier (Equipment, not the service) 3408 Galleria, Edina, MN 55435 2019-09-05
1730651639 Taylor Lee Kehoe Physician Assistant 7400 France Ave., Suite #100, Edina, MN 55435 2018-12-18
1538666326 Amanda Deangelo Physical Therapist 6401 Southdale Hospital, Ll3g, Edina, MN 55435 2018-04-09
1982107876 Julia Seliber Dental Hygienist 7600 France Ave.s. Suite 1100, Edina, MN 55435 2018-03-16
1154840064 Southhealth Asc, LLC Clinic/Center 4100 Minnesota Drive, Edina, MN 55435 2017-09-12
1730605528 Edina Medical Supplies Durable Medical Equipment & Medical Supplies 7455 France Ave., #614 S, Edina, MN 55435 2017-08-14
1033565510 Minnesota Disc Replacement and Spine Restoration Center Clinic/Center 4444 76 St, #700, Edina, MN 55435 2016-05-13
1306206321 Barb Ryan Mechanotherapist 7550 France Avenue S, #220, Edina, MN 55435 2016-03-03
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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
1629559992 Amanda Ann Peterson Dietitian, Registered 6405 France Ave S Ste 480, Edina, MN 55435-2172 2018-08-24
1760813570 Stephanie Linnea Peters Dietitian, Registered 6401 France Ave S Dept Of, Edina, MN 55435-2104 2013-12-03
1760714133 Elizabeth Reisdorf Dietitian, Registered 7600 France Ave S Ste 4200, Edina, MN 55435 2010-02-09
1689608523 Laura Christine Russell Dietitian, Registered 7701 York Ave S Ste 189, Endocrinology Clinic of Minneapolis, Edina, MN 55435-5238 2006-07-10
1255951950 Jennifer L Guptail Dietitian, Registered 6401 France Ave S, Edina, MN 55435-2104 2020-04-22
1689211526 Angela Tullbane Dietitian, Registered 6401 France Ave S, Ll10, Edina, MN 55435 2019-12-10
1679119341 Mckenzie Jo Young Dietitian, Registered 6401 France Ave S, Edina, MN 55435-2104 2019-11-18
1366940850 Elise Graham Dietitian, Registered 6545 France Ave S, Edina, MN 55435-2131 2018-01-30
1104343300 Viverant, LLC Dietitian, Registered 5400 France Ave S, Edina, MN 55410-2356 2017-08-28
1629595947 Viverant, LLC Dietitian, Registered 5400 France Ave S, Edina, MN 55410-2356 2017-08-28
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Competitor

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City EDINA
Zip Code 55435

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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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