ANNEMARIE ROSE KETTLER


Address: 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527
Phone: 9529933400

ANNEMARIE ROSE KETTLER (NPI# 1083261101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083261101
Entity Type Individual
Full Name ANNEMARIE ROSE KETTLER
Credential RD
Practice Address 3850 Park Nicollet Blvd
St Louis Park
MN 55416-2527
Mailing Address 2 Southpointe Ct
North Oaks
MN 55127-2044
Practice Telephone 9529933400
Mailing Telephone 6513387850
Enumeration Date 2019-08-22
Last Update Date 2019-08-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Office Location

Street Address 3850 PARK NICOLLET BLVD
City ST LOUIS PARK
State MN
Zip Code 55416-2527

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487659587 Debra Ann Rustad Nurse Practitioner 3850 Park Nicollet Blvd, Park Nicollet Clinic--senior Services-- 3rd Floor, St Louis Park, MN 55416-2527 2005-06-15
1386280030 Melissa Jean Neiert Social Worker 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2019-11-18
1427601772 Michaela Rae Schleinz Occupational Therapist 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2019-07-16
1720545627 Rose Alicia Crider Dietitian, Registered 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2019-02-27
1114435773 Adam James Uithoven Physician Assistant 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2018-01-17
1285140442 Jessica Mae Brabender Nurse Practitioner 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2017-12-22
1043729064 Grace Marie Irish Nurse Practitioner 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2017-09-21
1760908131 Elin Christine Pool Physician Assistant 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2017-08-17
1912422718 Kathleen Therese Guinee Holman Nurse Practitioner 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2017-08-14
1972025161 Katie Wocken Louwagie Nurse Practitioner 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2017-07-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639711492 Ismahan Abdirahman Mohamed Psychologist 4236 Parkglen Rd, St Louis Park, MN 55416 2019-10-14
1598307860 Ayman Abulaziz Mohamed Counselor 4326 Park Glen Rd, St Louis Park, MN 55416 2019-10-08
1831758929 Ally Group Homes LLC Assisted Living Facility 2944 Princeton Ave South, Saint Louis Park, MN 55416 2019-06-11
1609371525 Heather Margaret Flatgard Chiropractor 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 2018-03-25
1942702394 Polaris Pharmacy Services of Minnesota, LLC Pharmacy 4220 Park Glen Road, St. Louis Park, MN 55416 2018-03-01
1316469760 Evert Ray Boyd Psychologist 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 2017-07-07
1861941684 Amanda Marie Tapper Marriage & Family Therapist 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 2016-09-22
1326410416 Clear Health Chiropractic LLC Chiropractor 5614 W 36th St, St. Louis Park, MN 55416 2015-10-28
1568897833 Kay Elizabeth Lichtenberger Physical Therapist 4415 W 36.5 St, St. Louis Park, MN 55416 2013-09-05
1710221510 Aaron Christopher Oppelt Counselor 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 2012-11-16
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942829270 Nina Corrine Current Dietitian, Registered 7342 W 14th St Apt 6, St Louis Park, MN 55426-2045 2020-04-16
1861022477 Mary Ann Vanpilsum-johnson Dietitian, Registered 2930 Quentin Ave, St Louis Park, MN 55416-1965 2020-01-22
1699178178 Lynda Binius Enright Dietitian, Registered 3824 Alabama Ave S, St Louis Park, MN 55416-2469 2014-09-29
1124255138 Gina M Houmann Dietitian, Registered 3850 Park Nicollet Blvd., St Louis Park, MN 55416 2009-06-17
1578704912 Amanda Dawn Vanyo Dietitian, Registered 3525 Monterey Ave S, St Louis Park, MN 55416 2009-03-16
1215983176 Kimberly Erin Haluska Dietitian, Registered 3525 Monterey Drive, St Louis Park, MN 55426-4702 2006-05-25
1437797917 Allison Marie White Dietitian, Registered 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 2019-12-16
1528603412 Kelli Lynn Jones Dietitian, Registered 3525 Monterey Dr, St Louis Park, MN 55416-5275 2019-11-14
1558919068 Lucy Ramquist Dietitian, Registered 3525 Monterey Dr, St Louis Park, MN 55416-5275 2019-08-28
1174170146 Miranda Larson Dietitian, Registered 3525 Monterey Dr, St Louis Park, MN 55416-5275 2019-08-23
Find all providers in ST LOUIS PARK

Competitor

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City ST LOUIS PARK
Zip Code 55416

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Dataset Information

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.

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