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NOURISHING WAVES NUTRITION PLLC
NPI 1528822624
Dietitian, Registered in Minneapolis, MN

Active since February 08, 2024
2124 DUPONT AVE S STE 202, MINNEAPOLIS, MN 55405(952) 358-1414 Get Directions Write a Review

NPPES record last updated: February 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nourishing Waves Nutrition Pllc NPPES

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

NOURISHING WAVES NUTRITION PLLC (NPI 1528822624) is a healthcare organization registered as a dietitian, registered in Minneapolis, Minnesota and active in the NPI registry since February 2024. The organization lists Annie Clarkin, Owner, as its authorized official.

NPPES Registry Identity

NPI1528822624
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameNOURISHING WAVES NUTRITION PLLC
Location Address2124 DUPONT AVE S STE 202Minneapolis, MN 55405-2719
Mailing Address4145 42nd Ave S Unit 2Minneapolis, MN 55406-3530
Phone(952) 358-1414
Organization SubpartNo
Authorized OfficialAnnie ClarkinOwner · (952) 358-1414
Enumeration DateFebruary 8, 2024
Last NPPES UpdateFebruary 18, 2024
NPPES CertifiedFebruary 18, 2024
✔ NPI 1528822624 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.
2124 DUPONT AVE S STE 202, Minneapolis, MN 55405
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nourishing Waves Nutrition Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nourishing Waves Nutrition PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Annie Clarkin, RDN, LD
Registered Dietitian or Nutrition Professional
NPI 1083386197
2124 DUPONT AVE S STE 202
Minneapolis, MN 55405
(952) 358-1414
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nourishing Waves Nutrition PLLC's NPI number?

The NPI number for Nourishing Waves Nutrition PLLC is 1528822624. It was assigned to this organization in the NPPES registry on February 8, 2024.

Where is Nourishing Waves Nutrition PLLC located?

Nourishing Waves Nutrition PLLC is located at 2124 Dupont Ave S Ste 202, Minneapolis, MN 55405. The listed phone number is (952) 358-1414.

What is Nourishing Waves Nutrition PLLC's specialty?

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

Is Nourishing Waves Nutrition PLLC enrolled in Medicare?

Yes. Nourishing Waves Nutrition PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nourishing Waves Nutrition PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Nourishing Waves Nutrition PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nourishing Waves Nutrition PLLC was last updated on February 18, 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.