1235011560 NPI number — CAPABLE NUTRITION COUNSELING LLC

Table of content: (NPI 1235011560)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235011560 NPI number — CAPABLE NUTRITION COUNSELING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CAPABLE NUTRITION COUNSELING LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235011560
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/26/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
330 S SECOND AVE
Provider Second Line Business Mailing Address:
SUITE 200 #1300
Provider Business Mailing Address City Name:
MINNEAPOLIS
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55401
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
218-620-1100
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
124 8TH ST N STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FARGO
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58102-5251
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-444-1585
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2025

Additional Information

Authorized Official

Authorized Official Last Name:
THOMPSON
Authorized Official First Name:
SHARON
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER, REGISTERED DIETITIAN
Authorized Official Telephone Number:
612-444-1585

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com