Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PERSONAL NUTRITION & WELLNESS INC
NPI 1013725340
Nutritionist - Nutrition, Education in Fargo, ND

Active since December 19, 2024
4450 31ST AVE S, FARGO, ND 58104(763) 300-4816(763) 299-1002 Get Directions Write a Review

NPPES record last updated: August 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2026, Dec 19, 2024 (2 updates tracked since 2024).

About Personal Nutrition & Wellness Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERSONAL NUTRITION & WELLNESS INC (NPI 1013725340), doing business as Rock Bottom Wellness, Inc., is a healthcare organization registered as a nutrition, education in Fargo, North Dakota and active in the NPI registry since December 2024. The organization maintains a secondary practice location in Maple Grove and lists Tiffany Flaten, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1013725340
Entity TypeOrganization
Primary Taxonomy133NN1002X
Legal Business NamePERSONAL NUTRITION & WELLNESS INC
Location Address4450 31ST AVE SFargo, ND 58104-4556
Mailing Address4450 31st Ave SFargo, ND 58104-4556 · (763) 300-4816 · Fax (763) 299-1002
Fax(763) 299-1002
Organization SubpartNo
Authorized OfficialTiffany FlatenCeo/president · (763) 300-4816
Enumeration DateDecember 19, 2024
Last NPPES UpdateAugust 8, 20262 updates tracked since enumeration
NPPES CertifiedAugust 8, 2026
NPI 1013725340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
4450 31ST AVE S, Fargo, ND 58104

Other Names 1

Doing Business AsRock Bottom Wellness, Inc.

Secondary Practice Location 1

Location 19325 Upland Ln N Ste 310Maple Grove, MN 55369-4451 · Phone (612) 361-6475 · Fax (763) 229-1002

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
4450 31ST AVE S, SUITE 103
FARGO, ND 58104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Personal Nutrition & Wellness Inc's NPI number?

The NPI number for Personal Nutrition & Wellness Inc is 1013725340. It was assigned to this organization in the NPPES registry on December 19, 2024. The provider is doing business as Rock Bottom Wellness, Inc..

Where is Personal Nutrition & Wellness Inc located?

Personal Nutrition & Wellness Inc is located at 4450 31st Ave S, Fargo, ND 58104. The listed phone number is (763) 300-4816.

What is Personal Nutrition & Wellness Inc's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Personal Nutrition & Wellness Inc was last updated on August 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.