Gymboom LLC
NPI 1598425761ActiveOrganization· Dietitian, Registered· Edina, MN
Dietitian, Registered in Edina, Minnesota, registered in NPPES in December 2021. The authorized official on file is Emma Marie Backes, RDN, Provider.
Overview
| NPI | 1598425761 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 29, 2021 |
| Last updated in NPPES | Dec 29, 2021 |
| Certified by provider | Dec 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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