Active NPIIndividual providerSole proprietor

Avi M Pelly, RDN

Dietitian, Registered in Edina, Minnesota

NPI Number1972331593
Practice location
3250 W 66TH St Apt 548, Edina, MN 55435-5514
Fax
—
Last updated
September 24, 2025

Avi Mae Pelly is a Dietitian, Registered based in Edina, MN. Avi Mae Pelly practices in Edina, MN and has the professional credentials of RDN. The NPI Number for Avi Mae Pelly is 1972331593 and holds a License No. 86330378 (NJ). The current practice location address for Avi Mae Pelly is 3250 W 66TH St Apt 548, Edina, MN 55435-5514 and can be reached out via phone at 651-447-6737.

Provider Profile Details

NPI Number
1972331593
Provider Name
Avi Mae Pelly
Credential
RDN
Provider Entity Type
Individual
Gender
Female
Address
3250 W 66TH St Apt 548, Edina, MN 55435-5514
Phone Number
651-447-6737
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 24, 2024
Last Update Date
September 24, 2025
Certification Date
September 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
3250 W 66TH St Apt 548
Edina, MN 55435-5514
City
Edina
Zip
55435-5514
Phone Number
651-447-6737
Edina, MN 55435Get directions →

Provider Business Mailing Address Details

Address
75 N Main St
Manasquan, NJ 08736-2941
City
Manasquan
State
NJ
Zip
08736-2941
Phone Number
732-580-5426

License Information

Taxonomy (1)
Dietitian, Registered · 133V00000X
License Number (2)
86330378
License State (2)
NJ
Taxonomy (2)
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Avi M Pelly, RDN?

The NPI number of Avi M Pelly, RDN is 1972331593. It was assigned on July 24, 2024 and is currently active in the NPPES registry.

What is the specialty of Avi M Pelly, RDN?

Avi M Pelly, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NJ under license number 86330378.

Where does Avi M Pelly, RDN practice?

The practice location is 3250 W 66TH St Apt 548, Edina, MN 55435-5514. The office can be reached at 651-447-6737 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972331593 directly on the NPPES registry website.

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