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JACQUELINE VLIETSTRA
NPI 1275905366
Specialist in Saint Paul, MN

Active since October 28, 2015
2265 COMO AVE, SAINT PAUL, MN 55108(651) 379-6100 Get Directions Write a Review

NPPES record last updated: October 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Vlietstra NPPES

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

JACQUELINE VLIETSTRA (NPI 1275905366) is an individual specialist in Saint Paul, Minnesota, licensed in Minnesota (58551) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1275905366
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJACQUELINE VLIETSTRA
Location Address2265 COMO AVESaint Paul, MN 55108-1737
Mailing Address2265 Como AveSaint Paul, MN 55108-1737 · (651) 379-6100
Phone(651) 379-6100
Sole ProprietorNo
Enumeration DateOctober 28, 2015
✔ NPI 1275905366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MN · 58551
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2265 COMO AVE, Saint Paul, MN 55108
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Other Providers at the Same Location NPPES 20

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

MICHAEL HILMAR WAGNER R.D., L.D.
Nutritionist
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
MISS KELLY PERTZSCH MA
Counselor (Professional)
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5325
STEFANIE KAITLYN JENSEN RD, LD
Dietitian, Registered
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
KRISTA WANOUS MA, MFT, AT
Student in an Organized Health Care Education/Training Program
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
LINNEA MCCOSH
Marriage & Family Therapist
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
ARIEL SYVERTSON
Counselor (Professional)
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
DEANNA MILLER
Dietitian, Registered
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
LINDSEY STIYER RD
Dietitian, Registered
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323

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 Jacqueline Vlietstra's NPI number?

The NPI number for Jacqueline Vlietstra is 1275905366. It was assigned to this individual provider in the NPPES registry on October 28, 2015.

Where is Jacqueline Vlietstra located?

Jacqueline Vlietstra practices at 2265 Como Ave, Saint Paul, MN 55108. The listed phone number is (651) 379-6100.

What is Jacqueline Vlietstra's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Vlietstra was last updated on October 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.