Provider Demographics
NPI:1427888478
Name:TWIGGS, CASSANDRA LYNNE (MPH, RDN, LD)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:LYNNE
Last Name:TWIGGS
Suffix:
Gender:F
Credentials:MPH, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 UNIVERSITY AVE NE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-1941
Mailing Address - Country:US
Mailing Address - Phone:713-494-5696
Mailing Address - Fax:
Practice Address - Street 1:818 UNIVERSITY AVE NE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-1941
Practice Address - Country:US
Practice Address - Phone:713-494-5696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ133V00000X
NJ133V00000X
MI133V00000X
CO133V00000X
CA133V00000X
VA133V00000X
MN4904133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered