Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Viverant, LLC

Organization Registered Dietitian · NPI 1013439868

Viverant, LLC is a Registered Dietitian in Lake Elmo, Minnesota. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9242 Hudson Blvd N Ste 400
Lake Elmo, MN 55042-8700
Phone: (952) 835-4512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1013439868
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationViverant PT LLC
Authorized official Michael Lanham — Director · (952) 835-4512
NPI enumeratedJuly 13, 2017
Last updated in NPPESJune 1, 2020
Certification dateJune 1, 2020
Mailing address1769 Lexington Ave N # 286, Roseville, MN 55113-6522

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