TIMOTHY BAEBENROTH (NPI# 1013442359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013442359 |
| Entity Type | Individual |
| Full Name | TIMOTHY BAEBENROTH |
| Credential | R.D. |
| Practice Address |
11501 Masonic Home Dr Bloomington MN 55437-3661 |
| Practice Telephone | 9529487603 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86064227 | MN | Dietary & Nutritional Service Providers |
| Street Address |
11501 MASONIC HOME DR |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55437-3661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346235181 | Minnesota Masonic Home Care Center | Skilled Nursing Facility | 11501 Masonic Home Dr, Bloomington, MN 55437-3661 | 2005-09-19 |
| 1003294026 | Dolkar Dolkar | Registered Nurse | 11501 Masonic Home Dr, Bloomington, MN 55437-3661 | 2015-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710344494 | Bloomington Smiles Dentistry, PC | Dentist | 10700 France Avenue, Suite 102, Bloomington, MN 55437 | 2016-01-26 |
| 1851788988 | Rachael Anne Wilson | Dentist | 4200 West Old Shakopee Rd, Suite 100, Bloomington, MN 55437 | 2015-04-15 |
| 1518166891 | Ronald Lawrence Shapiro | Internal Medicine | 5270 W 84th St, #500, Minneapolis, MN 55437 | 2007-07-16 |
| 1275742900 | Riverview Spine, P.a. | Chiropractor | 5402 W. Old Shakopee Road, Bloomington, MN 55437 | 2007-05-21 |
| 1184846149 | Michael Robert Wiles | Chiropractor | 5017 West 106th Street, Bloomington, MN 55437 | 2007-05-02 |
| 1821181421 | Tms Treatment Center Inc | Community Based Residential Treatment Facility, Mental Illness | 5414 West Old Shakopee Circle, Bloomington, MN 55437 | 2006-10-02 |
| 1952493736 | The James Inc | Home Health | 4533 Normandale Highlands Drive, Bloomington, MN 55437 | 2006-09-29 |
| 1093747354 | Kris J Kalenda | Dentist | 4200 W Old Shakopee Rd, Suite 221, Bloomington, MN 55437 | 2006-07-07 |
| 1871560078 | Gregory Borg Hanson | Dentist | 5270 W 84 St, Bloomington, MN 55437 | 2006-03-07 |
| 1770076184 | Cal Leonard Johnson | Physical Therapist | 5001 American Blvd W Ste 945, Bloomington, MN 55437 | 2018-06-11 |
| Find all providers in zip 55437 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330860 | Kari Houge | Dietitian, Registered | 8960 York Rd S, Bloomington, MN 55431-1819 | 2020-09-10 |
| 1477167153 | Kayla E King | Dietitian, Registered | 864 S Basswood Dr Apt D, Bloomington, IN 47403-2968 | 2020-09-01 |
| 1164058392 | Hei Jessie Wong | Dietitian, Registered | 929 S Fenbrook Ct, Bloomington, IN 47401-4814 | 2020-03-19 |
| 1093289639 | Hannah Vaughan | Dietitian, Registered | 4101 E Morningside Dr, Bloomington, IN 47408-3146 | 2019-01-16 |
| 1508348228 | Javier Sandoval Jr. | Dietitian, Registered | 516 S Linden Ave, Bloomington, CA 92316-1221 | 2018-08-29 |
| 1164976007 | Rachel Noirot | Dietitian, Registered | 801 N Jordan Ave, Bloomington, IN 47405-2107 | 2016-08-09 |
| 1396141859 | Ellen Roth | Dietitian, Registered | 9 Heartland Dr Ste C, Bloomington, IL 61704-7733 | 2014-11-11 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1710397278 | Randi Gibbs | Dietitian, Registered | 8040 Old Cedar Ave S, Bloomington, MN 55425-1234 | 2014-05-05 |
| 1558697326 | Food Stuff, Inc. | Dietitian, Registered | 10338 N 1750 East Rd, Bloomington, IL 61705-5950 | 2009-10-28 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55437 |
Please comment or provide details below to improve the information on TIMOTHY BAEBENROTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.