AMANDA LILLEBERG (NPI# 1225507411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225507411 |
| Entity Type | Individual |
| Full Name | AMANDA LILLEBERG |
| Practice Address |
3001 Sanford Pkwy Thief River Falls MN 56701-2700 |
| Practice Telephone | 2186832709 |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
3001 SANFORD PKWY |
| City | THIEF RIVER FALLS |
| State | MN |
| Zip Code | 56701-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376585059 | Kurt W Possai | Orthopaedic Surgery | 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 | 2006-06-10 |
| 1720685167 | Beth Peterick | Nurse Practitioner | 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 | 2020-10-08 |
| 1659989200 | Sara Beth Beger | Nurse Practitioner | 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 | 2020-07-20 |
| 1487212205 | Samantha Jean Hulst | Nurse Practitioner | 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 | 2019-06-05 |
| 1568941110 | Heather Morrisette | Nurse Practitioner | 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 | 2018-08-13 |
| 1750875308 | Eiley Christina Sundby | Speech-Language Pathologist | 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 | 2018-06-18 |
| 1598259145 | Maia Beger | Occupational Therapist | 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 | 2018-06-18 |
| 1407340052 | Vanessa R Thompson | Occupational Therapist | 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 | 2018-06-18 |
| 1134613789 | Courtney M Nordby | Occupational Therapy Assistant | 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 | 2018-06-18 |
| 1013401660 | Riley I Henricson | Physical Therapy Assistant | 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265885834 | Julia Nelson | Physical Therapist | 1511 Highway 59 S Ste A, Thief River Falls, MN 56701 | 2016-07-19 |
| 1326321167 | Achieve Therapy LLC | Physical Therapist | 201 Brooks Ave, Thief River Falls, MN 56701 | 2011-09-27 |
| 1841581121 | Kathleen G. Barry | Dietitian, Registered | 120 Labree Ave S, Thief River Falls, MN 56701 | 2011-04-21 |
| 1740437789 | Altra Care P A | Clinic/Center | 1140 Vanrooy Dr., Thief River Falls, MN 56701 | 2008-08-21 |
| 1255514477 | Terrence Robert Demars | Social Worker | Meritcare Northwest Medical Center, 120 Labree Ave S, Thief River Falls, MN 56701 | 2007-12-11 |
| 1437290970 | Donna B Helmich | Dentist | 318 La Bree Ave. North, Thief River Falls, MN 56701 | 2007-02-09 |
| 1528129160 | Great Plains Ems, Inc | Ambulance | 511 N Atlantic, Thief River Falls, MN 56701 | 2006-12-13 |
| 1609959022 | John Lloyd Seaverson | Dentist | 318 Labree Ave North, Thief River Falls, MN 56701 | 2006-10-21 |
| 1932280120 | Pennington Health Services | Skilled Nursing Facility | 130 Labree Avenue South, Thief River Falls, MN 56701 | 2006-10-17 |
| 1336232495 | Anderson Hearing Center Ltd | Audiologist | 302 3rd St E, Thief River Falls, MN 56701 | 2006-10-02 |
| Find all providers in zip 56701 | ||||
| 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 |
|---|---|---|---|---|
| 1841581121 | Kathleen G. Barry | Dietitian, Registered | 120 Labree Ave S, Thief River Falls, MN 56701 | 2011-04-21 |
| 1326557703 | Mckenna Lynn King | Dietitian, Registered | 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 | 2017-09-28 |
| 1568986297 | Sarah Blomquist | Dietitian, Registered | 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 | 2017-08-03 |
| 1295288926 | Tracey Dillon | Dietitian, Registered | 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 | 2016-07-29 |
| 1487935037 | Allison Marie Rantanen | Dietitian, Registered | 120 Labree Ave South, Thief River Falls, MN 56701-2819 | 2011-09-08 |
| 1982859229 | Deanna Kay Skaar | Dietitian, Registered | 120 Labree Ave S, Thief River Falls, MN 56701-2840 | 2008-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538202 | Madison Merry Holm | Dietitian, Registered | 2494 Morrison St, Little Canada, MN 55117-1623 | 2020-11-05 |
| 1083213375 | Suzanna Steen | Dietitian, Registered | 2680 County Road 90, Independence, MN 55359-9764 | 2020-10-19 |
| 1780291245 | Meghan Kathleen Nilan | Dietitian, Registered | 7987 Drake Bay, Woodbury, MN 55125-1577 | 2020-09-29 |
| 1275148785 | Breeanna Lynn Goetz | Dietitian, Registered | 25755 655th St, Kasson, MN 55944-1896 | 2020-09-11 |
| 1194330860 | Kari Houge | Dietitian, Registered | 8960 York Rd S, Bloomington, MN 55431-1819 | 2020-09-10 |
| 1689289241 | Alexis Mae Guttormson | Dietitian, Registered | 1057 Grandview Ave W, Roseville, MN 55113-4438 | 2020-09-10 |
| 1194330969 | Alyssa Marie Bossle | Dietitian, Registered | 4914 River Wood Dr, Savage, MN 55378-4600 | 2020-09-09 |
| 1538773528 | Emily Weber | Dietitian, Registered | 5400 Shoreview Ave, Minneapolis, MN 55417-1918 | 2020-09-07 |
| 1881208049 | Cassandra Grace Hosfield | Dietitian, Registered | 9128 Florida Ave N, Brooklyn Park, MN 55445-1649 | 2020-09-04 |
| 1841803624 | Leah Anna Marie Miskowiec | Dietitian, Registered | 2896 88th Ave Ne, Blaine, MN 55449-6761 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | THIEF RIVER FALLS |
| Zip Code | 56701 |
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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.