MS. DEBRA LYN VEVEA (RD LD CDE) – Registered Dietitian, NPI 1104115534

Registered Dietitian

MS. DEBRA LYN VEVEA (RD LD CDE) is a healthcare provider. based in Shoreview, Minnesota. specializing in Registered Dietitian. They hold the professional credentials RD LD CDE. They hold a License No. 2210 (MN). The NPI Number for MS. DEBRA LYN VEVEA (RD LD CDE) is 1104115534

Main info

Female

Sole Proprietor

47 Years Of Experience

Accepts Medicare Assignment

Name

MS. DEBRA LYN VEVEA (RD LD CDE)

NPI

1104115534

Phone

(652) 766-3915

Address

4625 CHURCHILL ST

Enumeration Date

6 April 2011

Last Update Date

6 April 2011

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7635205200

Graduation Year

1979 (47 years ago)

PAC ID

8224351424

Group Practice PAC ID

0042123028

Professional Enrollment ID

I20141219000128

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience44

Completeness75

Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for MS. DEBRA LYN VEVEA (RD LD CDE)

4625 CHURCHILL ST
SUITE 110
SHOREVIEW, MN 551265868
Phone: (652) 766-3915
Fax: (651) 766-3901
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55126)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 0042123028View full group profile

Name	Specialty	State
TROY DEAN LONG (MD)	-	MN
DR. NAYERA RAFIK ATTALLA GUIRGUIS (M.D.)	-	KY
KEVIN BRENT BAILEY (MD)	-	MN
ETHAN MICHAEL FRUECHTE (M.D.)	Cardiovascular Disease (Cardiology)	MN
JENNIFER ROSE PAGE (PA-C)	-	WI
JEFFREY MIDDENDORF	Certified Registered Nurse Anesthetist (Crna)	MN
MICHAEL FINN (MD)	N E U R O S U R G E R Y	CO
WILLIAM SCOTT SIEVERT (MD)	-	MN
DR. BRIAN J HANSEN (D.O.)	Internal Medicine	SD
KATHRYN FISCHER (MD)	-	MN

Reviews

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Frequently asked questions

What NPI should I save for MS. DEBRA LYN VEVEA (RD LD CDE)?

Save NPI 1104115534 if you need a stable reference for MS. DEBRA LYN VEVEA (RD LD CDE).

Is MS. DEBRA LYN VEVEA (RD LD CDE)'s NPI currently valid?

The extract we use shows MS. DEBRA LYN VEVEA (RD LD CDE) as active.

Does MS. DEBRA LYN VEVEA (RD LD CDE) list a primary specialty?

If you are matching referrals, note Registered Dietitian for MS. DEBRA LYN VEVEA (RD LD CDE). Clinical services aligned with this taxonomy classification.

Does MS. DEBRA LYN VEVEA (RD LD CDE) practice in Minnesota?

You will see Shoreview, Minnesota on file for MS. DEBRA LYN VEVEA (RD LD CDE) alongside any extra practice locations.

How can I contact MS. DEBRA LYN VEVEA (RD LD CDE)?

Phone or fax may appear on the official NPI record when supplied — verify before relying on them.