STEPHANIE GRINDELAND (NPI# 1336748839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336748839 |
| Entity Type | Individual |
| Full Name | STEPHANIE GRINDELAND |
| Credential | DTR |
| Practice Address |
5354 Parkdale Dr Ste 200 Minneapolis MN 55416-1617 |
| Mailing Address |
186 Maple St Saint Paul MN 55106-5514 |
| Practice Telephone | 8883645997 |
| Mailing Telephone | 2187605670 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 136A00000X | Dietetic Technician, Registered | 86116519 | MN | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MINNESOTA DEPARTMENT OF HEALTH | FM102071 | 01 |
| Street Address |
5354 PARKDALE DR STE 200 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55416-1617 |
| 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 | 136A00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietetic Technician, Registered |
| A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; 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 Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639541865 | Nichole Wheatley | Dietetic Technician, Registered | 2230 Como Ave, Saint Paul, MN 55108-1720 | 2015-10-27 |
| 1710358973 | Michele Rock | Dietetic Technician, Registered | 2265 Como Ave, Saint Paul, MN 55108-1737 | 2015-10-14 |
| 1013386457 | Jamie Withrow | Dietetic Technician, Registered | 320 E Main St, Crosby, MN 56441-1645 | 2015-09-16 |
| 1679843296 | Sheila R. Smallfield | Dietetic Technician, Registered | 1420 E College Dr, Marshall, MN 56258-2065 | 2012-01-12 |
| 1053570580 | Elizabeth A Christopherson | Dietetic Technician, Registered | 6500 Excelsior Blvd, St Louis Park, MN 55426 | 2008-06-09 |
| 1558564914 | Sarah L Schneeweis | Dietetic Technician, Registered | 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426-1728 | 2007-06-06 |
| City | MINNEAPOLIS |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on STEPHANIE GRINDELAND.
| 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.