1. Home
  2. Directory
  3. Minnesota
  4. Lakeville
  5. Dietitian Registered
  6. NPI Profile

HY-VEE HEALTH PC
NPI 1104679794
Dietitian, Registered in Lakeville, MN

Active since April 11, 2024CLIA 24D2113450 · Waiver
16150 PILOT KNOB RD, LAKEVILLE, MN 55044(515) 225-2930 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hy-vee Health Pc NPPES

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

HY-VEE HEALTH PC (NPI 1104679794) is a healthcare organization registered as a dietitian, registered in Lakeville, Minnesota and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Daniel S Fick, Cmo, as its authorized official.

NPPES Registry Identity

NPI1104679794
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameHY-VEE HEALTH PC
Location Address16150 PILOT KNOB RDLakeville, MN 55044-4105
Mailing Address5820 Westown PkwyWest Des Moines, IA 50266-8223
Phone(515) 225-2930
Organization SubpartNo
Authorized OfficialDaniel S FickCmo · (515) 225-2930
Enumeration DateApril 11, 2024
NPPES CertifiedApril 11, 2024
✔ NPI 1104679794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
16150 PILOT KNOB RD, Lakeville, MN 55044
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2113450

Hy-Vee #1356 · Lakeville, MN
Active · expires May 22, 2028
CLIA Number24D2113450
Laboratory TypePharmacy
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorWesley Pederson
Laboratory Phone(952) 423-9344
Laboratory LocationHy-Vee #135616150 Pilot Knob Road, Lakeville, MN 55044
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

CHELSEY HEGGE RD, LD
Dietitian, Registered
16150 PILOT KNOB RD
LAKEVILLE, MN 55044
Dakota County (515) 695-3290
DR. ANDREW DELATHOWER PHARMD
Pharmacist
16150 PILOT KNOB RD
LAKEVILLE, MN 55044
Dakota County (952) 423-9342
PAUL ORSTAD PHARMD
Pharmacist
16150 PILOT KNOB RD
LAKEVILLE, MN 55044
Dakota County (952) 423-9342
RHONDA LYNN CORNELL DNP, APRN, CNP
Nurse Practitioner (Family)
16150 PILOT KNOB RD
LAKEVILLE, MN 55044
Dakota County (952) 428-4225
LINDZY NELSON PHARMD
Pharmacist
16150 PILOT KNOB RD
LAKEVILLE, MN 55044
Dakota County (952) 423-9340
HY-VEE INC
Pharmacy (Community/Retail Pharmacy)
16150 PILOT KNOB RD
LAKEVILLE, MN 55044
Dakota County (952) 423-9342
SAMANTHA MOSBRUCKER MPH, RD, LD
Dietitian, Registered
16150 PILOT KNOB RD
LAKEVILLE, MN 55044
Dakota County (952) 423-9344

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 Hy-Vee Health PC's NPI number?

The NPI number for Hy-Vee Health PC is 1104679794. It was assigned to this organization in the NPPES registry on April 11, 2024.

Where is Hy-Vee Health PC located?

Hy-Vee Health PC is located at 16150 Pilot Knob Rd, Lakeville, MN 55044. The listed phone number is (515) 225-2930.

What is Hy-Vee Health PC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Does Hy-Vee Health PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2113450) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hy-Vee Health PC was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.