Provider Demographics
NPI:1588167837
Name:SCHAEKEL, JENILEE (RD, LD)
Entity type:Individual
Prefix:
First Name:JENILEE
Middle Name:
Last Name:SCHAEKEL
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:JENILEE
Other - Middle Name:
Other - Last Name:VAN HEEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:153 ARCWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MAHTOMEDI
Mailing Address - State:MN
Mailing Address - Zip Code:55115-1836
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:153 ARCWOOD RD
Practice Address - Street 2:
Practice Address - City:MAHTOMEDI
Practice Address - State:MN
Practice Address - Zip Code:55115-1836
Practice Address - Country:US
Practice Address - Phone:651-214-4910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-13
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3763133V00000X
MN86044503133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered