Activstyle, LLC
Activstyle, LLC is a healthcare organization registered as Durable Medical Equipment & Medical Supplies in Saint Paul, MN, holding Type 2 (organization) NPI 1417954165 since 2005. The authorized official on file is Darrell Rawlings, Ceo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1417954165 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Activstyle, LLC |
| Parent organization | Activstyle Holding Company |
| Practice address | 1055 WESTGATE DR STE 100, Saint Paul, MN, 55114 |
| Phone | 8006516223 |
| Fax | 8668967171 |
| Enumeration date | 2005-07-07 |
| Last updated in NPPES | 2025-11-13 |
Authorized official
| Name | Darrell Rawlings |
|---|---|
| Title | Ceo |
| Phone | 6128957815 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34951725 | Medicaid | CO | — |
| 9059163 | Medicaid | WA | — |
| 1013449 | Medicaid | VT | — |
| 101373387 | Medicaid | VA | — |
| 1021830 | Medicaid | AK | — |
| 200219460 A | Medicaid | IN | — |
| 1409928 | Medicaid | LA | — |
| 1417954165 | Medicaid | IA | — |
| 4582469 | Medicaid | TN | — |
| 014083000 | Medicaid | MD | — |
| 200106290A | Medicaid | OK | — |
| 2227423 | Medicaid | OH | — |
| 54456 | Medicaid | ND | — |
| 807670400 | Medicaid | ID | — |
| 004268844 | Medicaid | CT | — |
| 101858880 0002 | Medicaid | PA | — |
| 166866 | Medicaid | AL | — |
| 5720001 | Medicaid | RI | — |
| 596546 | Medicaid | HI | — |
| 1417954165 | Medicaid | MN | — |
Copy-ready billing details
Provider: Activstyle, LLC NPI: 1417954165 Taxonomy: 332B00000X (Durable Medical Equipment & Medical Supplies) Address: 1055 WESTGATE DR STE 100, Saint Paul, MN, 55114
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1568489037 | Anna Novak | Individual | Gerontology Nurse Practitioner | Saint Paul, MN |
| 1609978584 | Claire Dombrock | Individual | Gerontology Nurse Practitioner | Saint Paul, MN |
| 1659561579 | Vivian Akoh | Individual | Psychiatric/Mental Health Nurse Practitioner | Saint Paul, MN |
| 1821302076 | Melanie Larson | Individual | Adult Health Nurse Practitioner | Saint Paul, MN |
| 1164797098 | Lori Ongeri | Individual | Adult Health Nurse Practitioner | Saint Paul, MN |
| 1629495346 | Allison Sill | Individual | Adult Health Nurse Practitioner | Saint Paul, MN |
| 1669884359 | Tammie Burnoski | Individual | Nurse Practitioner | Saint Paul, MN |
| 1841605565 | Aaron Goldish | Individual | Internal Medicine Physician | Saint Paul, MN |
Verify this record
Cross-check NPI 1417954165 against the authoritative CMS record: view Activstyle, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Activstyle, LLC?
What is the NPI number for Activstyle, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-11-13.