PECOS
1983 SLOAN PL STE 1
Saint Paul, MN 55117
Saint Paul, MN 55117
- Enrolled in PECOS, eligible to order and refer
- Accepts Medicare assignment
- Individual · Pediatrics
Pediatrics Physician Nutrition Specialist Providers in Minnesota
2080P1004X
Minnesota
1Providers in state
1Individuals
1/1Page
A directory of 1 health care providers with a business address in Minnesota whose primary or secondary taxonomy code is 2080P1004X (Pediatrics Physician Nutrition Specialist). About taxonomy code 2080P1004X ›
Minnesota Pediatrics Physician Nutrition Specialist Directory
Showing 1 providers on page 1 of 1, sorted by last name / organization name. Use the bar below to filter the providers on this page.
No providers on this page match your filter. Search the full directory instead.
Frequently Asked Questions
As of the latest NPPES update, 1 providers in Minnesota are registered under taxonomy code 2080P1004X (Pediatrics Physician Nutrition Specialist). All of them are registered as individual providers. Among the individual providers, 1 are female and 0 are male.
Each card shows a PECOS badge based on the CMS Order and Referring dataset. A green PECOS badge means the provider appears in that dataset as eligible to order and refer. Open the provider profile, then verify directly in PECOS before relying on it for claims or credentialing.
The directory is rebuilt from the public NPPES registry, which is refreshed weekly. The NPI data on this page was last updated on June 28, 2026. A provider that recently updated their record may take a short time to appear here.
Provider Composition & Statistics
1Total providers
1Individuals 100%
1Female
Counts reflect Minnesota. Gender is recorded for individual providers only. Source: NPPES.
Provider data from the National Plan and Provider Enumeration System (NPPES), refreshed weekly. PECOS status from the CMS Medicare Order and Referring dataset. Taxonomy from the NUCC code set, Version 25.1.
