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Deactivated NPI 1720615909 Deactivated / Inactive NPI Female Practitioner

Mackenzie Wolfe , RDN, LD

Dietitian, Registered • Edina, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mackenzie Wolfe has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 26, 2020
NPI Deactivation Date April 21, 2020
Total Practice Duration ~1 Years of Practice (2020 – 2020)

Professional Overview & Biography Verified Profile Summary

Mackenzie Wolfe, RDN, LD was a registered Dietitian, Registered practicing in Edina, MN. Throughout an active medical career spanning 1 years, Mackenzie Wolfe provided care at the practice location at 4408 GILFORD DR until profile deactivation on 2020-04-21.

Practice Location & Contact Primary Location

Practice Address

4408 Gilford Dr

Edina, MN 554354154

Telephone 9525671293

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Edina, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
79 Specialists

Practicing in Edina, MN (1611 Statewide)

Telehealth Adoption Rate
2.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License MN 4309

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 21, 2020

Record deactivated on April 21, 2020

NPI Profile Active March 26, 2020

NPI status registered as active in NPPES database

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Updated Practice Location March 26, 2020

Registered at 4408 GILFORD DR, EDINA, MN 554354154 (Tel: 9525671293)

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Updated Business Mailing Address March 26, 2020

Registered at 4408 GILFORD DR, EDINA, MN 554354154 (Tel: 9525671293)

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Provider Name / Credentials Updated March 26, 2020

Recorded as MACKENZIE WOLFE, RDN, LD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2020

Dietitian, Registered (License #4309 in MN)

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Initial NPI Registration & Enumeration March 26, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720615909
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2020
Last Update: March 26, 2020
Deactivation Date: April 21, 2020

Mailing Address

4408 Gilford Dr

Edina, MN 554354154

Phone: 9525671293

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.