MARY K SPENCER (NPI# 1184005407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184005407 |
Entity Type | Individual |
Full Name | MARY K SPENCER |
Credential | RD, LD, CDE |
Practice Address |
3800 Park Nicollet Blvd Minneapolis MN 55416-2527 |
Practice Telephone | 9529932048 |
Mailing Telephone | 9529932048 |
Enumeration Date | 2015-06-11 |
Last Update Date | 2015-06-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 1846 | MN | Dietary & Nutritional Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073966735 | Mary Spencer | Nurse Practitioner | 8061 Springfield Rd, Glenn Dale, MD 20769-9605 | 2016-07-18 |
1770981771 | Mary Elizabeth Spencer | Specialist/Technologist | 5038 S Hardy Dr, Apt 2107, Tempe, AZ 85282-6626 | 2014-12-08 |
1619980497 | Mary Ellen Spencer | Counselor | 2220 Highway 35 N, Suite 240, Rockport, TX 78382-3312 | 2006-08-14 |
1497782619 | Mary Ann Spencer | Optometrist | 231 New Boston Rd, Fall River, MA 02720-5563 | 2006-06-26 |
1194721381 | Mary J Spencer | Pediatrics | 910 E Ohio Ave, Ste 103, Escondido, CA 92025-3439 | 2005-06-22 |
1376193441 | Mary Elizabeth Spencer | Acupuncturist | 386 Stanley St, Fall River, MA 02720-6009 | 2019-09-19 |
1013460807 | Mary Spencer | Occupational Therapist | 207 W Jackson St, Ridgeland, MS 39157-2355 | 2016-07-27 |
1598189110 | Mary Spencer | Nurse Anesthetist, Certified Registered | 1400 W Park St, Urbana, IL 61801 | 2014-02-18 |
1467703413 | Mary Spencer | Counselor | 912 W Mitchell St, Arlington, TX 76013-2537 | 2012-09-29 |
1346496148 | Mary L Spencer | Anesthesiologist Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2008-08-12 |
Street Address |
3800 PARK NICOLLET BLVD |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55416-2527 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578099677 | Elizabeth Ann Johnson | Dietitian, Registered | 3800 Park Nicollet Blvd, International Diabetes Center, Minneapolis, MN 55416-2527 | 2017-05-10 |
1659775799 | Gay Castle | Dietitian, Registered | 3800 Park Nicollet Blvd, Minneapolis, MN 55416-2527 | 2014-10-17 |
1568781029 | Rebecca Ann Passi | Dietitian, Registered | 3800 Park Nicollet Blvd, 6s, Minneapolis, MN 55416-2527 | 2010-05-24 |
1821281338 | Matthew W Tsang | Dermatology | 3800 Park Nicollet Blvd, Dermatology and Dermatopathology, Minneapolis, MN 55416-2527 | 2007-08-20 |
1295944932 | Matthew David Wise | Pediatrics | 3800 Park Nicollet Blvd, Minneapolis, MN 55416-2527 | 2007-05-21 |
1639242357 | Sharon L Duncan | Physical Therapist | 3800 Park Nicollet Blvd, Rehab Services, Minneapolis, MN 55416-2527 | 2006-11-17 |
1467556027 | Jennifer Mae Sexton | Psychiatry & Neurology | 3800 Park Nicollet Blvd, Minneapolis, MN 55416-2527 | 2006-09-12 |
1013021914 | Glenn Matfin | Internal Medicine | 3800 Park Nicollet Blvd, Minneapolis, MN 55416 | 2006-08-18 |
1467484014 | Alison K Adams | Dermatology | 3800 Park Nicollet Blvd, Minneapolis, MN 55416-2527 | 2006-07-06 |
1013994052 | Richard Sveum | Pediatrics | 3800 Park Nicollet Blvd, Minneapolis, MN 55416-2527 | 2005-12-30 |
Find all providers in the same location |
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 |
Find all providers in zip 55416 |
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 |
---|---|---|---|---|
1538773528 | Emily Weber | Dietitian, Registered | 5400 Shoreview Ave, Minneapolis, MN 55417-1918 | 2020-09-07 |
1699385674 | Laura Macmaster Dean | Dietitian, Registered | 3125 3rd Ave S Apt 3, Minneapolis, MN 55408-3213 | 2020-08-05 |
1356977714 | Caitlin Pyrz | Dietitian, Registered | 2215 E Lake St, Minneapolis, MN 55407-4385 | 2020-03-18 |
1356977755 | Anne Janzen | Dietitian, Registered | 4129 5th Ave S, Minneapolis, MN 55409-1624 | 2020-03-17 |
1033763123 | Samantha Rose Osterhaus | Dietitian, Registered | 720 W Lake St Apt 401, Minneapolis, MN 55408-3376 | 2019-07-28 |
1366096786 | Rebecca Leighton | Dietitian, Registered | 410 Church St Se # W227, Minneapolis, MN 55455-0222 | 2019-07-25 |
1124671342 | Morgan Taylor Harbst | Dietitian, Registered | 580 N 2nd St Apt 110, Minneapolis, MN 55401-4324 | 2019-07-17 |
1164081170 | Ana Fu Guzman | Dietitian, Registered | 701 Park Ave # R5.217, Minneapolis, MN 55415-1623 | 2019-06-12 |
1073171534 | Relate Nutrition & Therapy | Dietitian, Registered | 79 13th Ave Ne, Suite 103b, Minneapolis, MN 55413 | 2019-05-30 |
1063990372 | Alexis Janel Haakedahl | Dietitian, Registered | 1 Veterans Dr Rm 1g121-b, Minneapolis, MN 55417-2309 | 2018-07-30 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55416 |
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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.