Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LONGEVITY WEIGHT MANAGEMENT CLINIC
NPI 1588568505
Family Medicine - Obesity Medicine in Eden Prairie, MN

Q: What is Longevity Weight Management Clinic's NPI number?

The NPI number for Longevity Weight Management Clinic is 1588568505. It was assigned to this organization in the NPPES registry on October 5, 2026.

Q: What is Longevity Weight Management Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.

Active since October 05, 2026

16273 BAYWOOD LANE, EDEN PRAIRIE, MN 55346(612) 327-2228 Get Directions Write a Review

NPPES record added: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Longevity Weight Management Clinic NPPES

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

LONGEVITY WEIGHT MANAGEMENT CLINIC (NPI 1588568505) is a healthcare organization registered as an obesity medicine in Eden Prairie, Minnesota and active in the NPI registry since October 2026. The organization lists Natalie Louise Ikeman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1588568505

Entity TypeOrganization

Primary Taxonomy207QB0002X

Legal Business NameLONGEVITY WEIGHT MANAGEMENT CLINIC

Location Address16273 BAYWOOD LANEEden Prairie, MN 55346-4302

Mailing Address16526 W 78th St Ste 188Eden Prairie, MN 55346-4302 · (612) 327-2228

Phone(612) 327-2228

Organization SubpartNo

Authorized OfficialNatalie Louise IkemanCeo · (612) 327-2228

Enumeration DateOctober 5, 2026

NPPES CertifiedSeptember 30, 2026

✔ NPI 1588568505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Obesity MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QB0002X

Definition

A family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

16273 BAYWOOD LANE, Eden Prairie, MN 55346

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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 Longevity Weight Management Clinic's NPI number?

The NPI number for Longevity Weight Management Clinic is 1588568505. It was assigned to this organization in the NPPES registry on October 5, 2026.

Where is Longevity Weight Management Clinic located?

Longevity Weight Management Clinic is located at 16273 Baywood Lane, Eden Prairie, MN 55346. The listed phone number is (612) 327-2228.

What is Longevity Weight Management Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.

When was this NPI record last updated?

The NPPES record for Longevity Weight Management Clinic was last updated on October 5, 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.