BROOKE ANN LOEFFLER (NPI# 1396206959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396206959 |
| Entity Type | Individual |
| Full Name | BROOKE ANN LOEFFLER |
| Credential | RD |
| Practice Address |
610 30th Ave W Alexandria MN 56308-3426 |
| Practice Telephone | 3207635749 |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1164424305 | 05 | |
| MN | 1447526330 | 05 |
| Street Address |
610 30TH AVE W |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528066651 | Lake Region Eye Center | Optometrist | 610 30th Ave W, Ste 200, Alexandria, MN 56308-3426 | 2005-07-12 |
| 1760005433 | Andrea L Swenson | Registered Nurse | 610 30th Ave W, Alexandria, MN 56308-3426 | 2020-05-28 |
| 1427515287 | Tara Allison Reichmann | Dietitian, Registered | 610 30th Ave W, Alexandria, MN 56308-3426 | 2019-02-27 |
| 1457816027 | Alomere Health | Dietitian, Registered | 610 30th Ave W, Alexandria, MN 56308 | 2019-02-07 |
| 1306315486 | Maxwell Alan Berscheit | Nurse Practitioner | 610 30th Ave W, Alexandria, MN 56308-3426 | 2018-11-18 |
| 1598240376 | Connor William Sacks | Physician Assistant | 610 30th Ave W, Alexandria, MN 56308-3426 | 2018-09-27 |
| 1164905659 | Samantha Jean Aabel | Advanced Practice Midwife | 610 30th Ave W, Alexandria, MN 56308-3426 | 2018-09-11 |
| 1861970592 | Kelly Jean Mahoney | Physician Assistant | 610 30th Ave W, Alexandria, MN 56308-3426 | 2018-08-03 |
| 1205365830 | Skyler Holte Dahlseng | Internal Medicine | 610 30th Ave W, Alexandria, MN 56308-3426 | 2017-06-07 |
| 1356870174 | Allison Marie Homstad Juba | Family Medicine | 610 30th Ave W, Alexandria, MN 56308-3426 | 2017-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| 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 |
|---|---|---|---|---|
| 1447866926 | Rita Ann Eusanio | Dietitian, Registered | 5903 Mount Eagle Dr Apt 1409, Alexandria, VA 22303-2532 | 2020-09-19 |
| 1861008757 | Kendra R Lafountain | Dietitian, Registered | 5732 North Dr, Alexandria, LA 71301-2542 | 2020-09-16 |
| 1467077347 | Jennifer Ferreira | Dietitian, Registered | 735 Massey Ln Unit B, Alexandria, VA 22314-1270 | 2020-06-16 |
| 1891318713 | Kathleen Corcoran | Dietitian, Registered | 209 Madison St Ste 3b&3c, Alexandria, VA 22314-1764 | 2020-05-27 |
| 1144858853 | Erica Hess | Dietitian, Registered | 6012 Marilyn Dr, Alexandria, VA 22310-1517 | 2020-03-29 |
| 1326685579 | Angela D Lord | Dietitian, Registered | 5014 Waple Ln, Alexandria, VA 22304-7725 | 2019-12-06 |
| 1104462860 | Adrian E Hernandez | Dietitian, Registered | 6039 Curtier Dr Unit B, Alexandria, VA 22310-5165 | 2019-11-18 |
| 1427608165 | Miriam Eackloff | Dietitian, Registered | 1765 Duke St, Alexandria, VA 22314-3401 | 2019-09-15 |
| 1669963963 | Allison Miner | Dietitian, Registered | 215 Park Rd, Alexandria, VA 22301-2735 | 2018-05-22 |
| 1942799226 | Katrina Bellan Crichton | Dietitian, Registered | 5105 Heritage Ln, Alexandria, VA 22311-1300 | 2018-05-02 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 56308 |
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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.