NPI 1205893047 · live from the CMS NPI Registry
Laurie Ann Ashworth, RD
Dietitian, Registered in Minneapolis, MN. National Provider Identifier 1205893047, active.
NPI record
| NPI | 1205893047 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 420 Delaware St Se, Minneapolis, MN 55455 |
| Practice phone | 612-626-3000 |
| Mailing address | 1722 Elm St, White Bear Lake, MN 55110 |
| Enumerated | April 26, 2006 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2428 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.