MS. DEBRA LYN VEVEA (NPI# 1104115534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104115534 |
| Entity Type | Individual |
| Full Name | MS. DEBRA LYN VEVEA |
| Credential | RD LD CDE |
| Practice Address |
4625 Churchill St Suite 110 Shoreview MN 55126 |
| Mailing Address |
4625 Churchill St Suite 110 Shoreview MN 55126-5868 |
| Practice Telephone | 6517663915 |
| Practice Fax Number | 6517663901 |
| Mailing Telephone | 6527663915 |
| Mailing Fax Number | 6517663901 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2210 | MN | Dietary & Nutritional Service Providers |
| Street Address |
4625 CHURCHILL ST SUITE 110 |
| City | SHOREVIEW |
| State | MN |
| Zip Code | 55126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881657872 | Jay Jiekuen Lou | Allergy & Immunology | 4625 Churchill St, Suite 211, Shoreview, MN 55126-5868 | 2006-04-10 |
| 1598045940 | Kristian Olson | Physical Therapist | 4625 Churchill St, Suite 204, Shoreview, MN 55126-5868 | 2011-08-17 |
| 1790073815 | Proeyecare Associates Pa | Ophthalmology | 4625 Churchill St, Suite 210, Shoreview, MN 55126-5868 | 2011-07-11 |
| 1619122884 | Urology Associates, Ltd. | Urology | 4625 Churchill St, Suite 110, Shoreview, MN 55126-5868 | 2008-12-01 |
| 1659556306 | Instep Foot Clinc, P.a. | Podiatrist | 4625 Churchill St, Suite 201, Shoreview, MN 55126-5868 | 2007-12-31 |
| 1730271693 | David Robert Dunphy | Dentist | 4625 Churchill St, Suite 205, Shoreview, MN 55126 | 2006-09-29 |
| 1215041025 | Kelly Lynne Roberts | Physical Therapist | 4625 Churchill St, Motioncare Shoreview Medical Center Suite 204, Shoreview, MN 55126 | 2006-08-18 |
| 1891729737 | Allergy, Asthma and Immunology Clinic, P.a. | Clinic/Center | 4625 Churchill St, Suite 211, Shoreview, MN 55126-5868 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174184964 | Natural Smiles Dental Care | Clinic/Center | 3434 Lexington Ave. N, Suite 700, Shoreview, MN 55126 | 2019-06-24 |
| 1588194740 | Michael Simons | Hearing Instrument Specialist | 1007 Tiller Lane, Shoreview, MN 55126 | 2017-06-19 |
| 1902255441 | Latarsha Nicole Bronaugh | Counselor | 3490 Lexington Ave North, Suite 205, Shoreview, MN 55126 | 2016-06-06 |
| 1265809479 | Emily Elizabeth Bade | Social Worker | 3490 Lexington Ave. N, Suite 205, Shoreview, MN 55126 | 2015-08-24 |
| 1669857520 | Laurel Ann Walsh | Marriage & Family Therapist | 3490 Lexington Ave. N., Suite 205, Shoreview, MN 55126 | 2015-07-21 |
| 1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
| 1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
| 1679843619 | Shoreview Dental Associates | Dentist | 4700 Lexington Avenue N, Suite D, Shoreview, MN 55126 | 2012-01-09 |
| 1700039575 | Jacqueline Elizabeth Hoppenrath | Audiologist | 4570 Churchill St Ste 130, Shoreview, MN 55126 | 2008-10-24 |
| 1164545935 | Lucia Jane Lein | Chiropractor | 1000 W. County Rd. E, 210, Shoreview, MN 55126 | 2007-04-09 |
| Find all providers in zip 55126 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900591 | Frances Tosca | Dietitian, Registered | 970 Carmel Ct, Shoreview, MN 55126-5881 | 2020-07-29 |
| 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 |
| 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.