IndividualActive
Nicole Wavra
NPI 1649642182 · Registered Dietitian · Saint Paul, MN
Nicole Wavra is a Registered Dietitian provider in Saint Paul, MN (NPI 1649642182).
Provider details
- NPI number
- 1649642182
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1454 (MN)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2230 Como Ave
Saint Paul, MN 55108-1720
Phone: (651) 645-5323
Street-level locationGet directions
Mailing address
55 Neptune St
Mahtomedi, MN 55115-1956
Registry dates
- Enumerated
- 2015-10-23
- Last updated
- 2015-10-23
Frequently asked questions
- What is Nicole Wavra's NPI number?
- Nicole Wavra's National Provider Identifier (NPI) is 1649642182, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Wavra's specialty?
- Nicole Wavra is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Nicole Wavra located?
- Nicole Wavra's practice location on file with NPPES is 2230 Como Ave, Saint Paul, MN 55108-1720.
- What is Nicole Wavra's phone number?
- The practice phone number listed in the NPPES registry for Nicole Wavra is (651) 645-5323.
- Is Nicole Wavra's NPI active?
- Yes — Nicole Wavra's NPI (1649642182) is active in the NPPES registry as of the last update on 2015-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.