TARA ETTESTAD (NPI# 1578991352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578991352 |
| Entity Type | Individual |
| Full Name | TARA ETTESTAD |
| Credential | RD, LD, CDE |
| Practice Address |
600 W 98th St Bloomington MN 55420 |
| Practice Telephone | 9528856235 |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2016-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2873 | MN | Dietary & Nutritional Service Providers |
| Street Address |
600 W 98TH ST |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017084 | Michelle Svihel | Physician Assistant | 600 W 98th St, Bloomington, MN 55420-4773 | 2005-07-20 |
| 1326568668 | Adele Michiko Langeness | Physician Assistant | 600 W 98th St, Bloomington, MN 55420-4773 | 2017-06-27 |
| 1124559893 | Bryan Labore | Internal Medicine | 600 W 98th St, Bloomington, MN 55420-4773 | 2017-03-24 |
| 1033563572 | Alice Catherine Lehman | Pediatrics | 600 W 98th St, Bloomington, MN 55420-4773 | 2016-04-21 |
| 1861858953 | Fairview Health Services | Clinic/Center | 600 W 98th St, Bloomington, MN 55420-4773 | 2016-01-06 |
| 1679950968 | Brian Francis Allen | Family Medicine | 600 W 98th St, Bloomington, MN 55420-4773 | 2015-05-06 |
| 1528452935 | Sigrid Mae Casey Avenido | Physician Assistant | 600 W 98th St, Bloomington, MN 55420-4773 | 2015-03-24 |
| 1447670948 | Claire Kathleen Mcneil | Internal Medicine | 600 W 98th St, Bloomington, MN 55420 | 2014-04-23 |
| 1700227600 | Fairview Clinics | Specialist | 600 W 98th St, Suite 315, Bloomington, MN 55420-4773 | 2013-07-09 |
| 1669763454 | Erin Michelle Whitcomb-crafton | Social Worker | 600 W 98th St, Bloomington, MN 55420-4773 | 2011-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1720624810 | Sunshine Assisted Living Services LLC | Home Health | 9540 Columbus Ave S, Bloomington, MN 55420 | 2019-11-23 |
| 1417205246 | Jrb Holdings, LLC | Home Health | 9897 Lyndale Ave S, Bloomington, MN 55420 | 2012-08-28 |
| 1629223722 | Jennifer Jean Bormann | Audiologist | 8714 Lyndale Avenue South, Minneapolis, MN 55420 | 2008-11-18 |
| 1801055959 | Sarah J. Marsden | Speech-Language Pathologist | 900 W 94th St., Bloomington, MN 55420 | 2008-06-04 |
| 1699949784 | 1st Choice Care, Inc. | Home Health | 9035 Blaisdell Ave S, Bloomington, MN 55420 | 2008-04-18 |
| 1922295203 | Cornerstone Advocacy Service | Community/Behavioral Health | 1000 East 80th St, Bloomington, MN 55420 | 2007-10-01 |
| 1184769457 | Fairview Oxboro Pharmacy Mtm | Non-Pharmacy Dispensing Site | 600 W 98th Street, Bloomington, MN 55420 | 2007-02-21 |
| 1891831723 | A Caring Company, Inc. | In Home Supportive Care | 9001 East Bloomington Freeway, Sutie 145, Bloomington, MN 55420 | 2007-01-29 |
| 1134279318 | Jennifer Mary Connelly | Speech-Language Pathologist | 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 | 2007-01-11 |
| Find all providers in zip 55420 | ||||
| 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 |
|---|---|---|---|---|
| 1194330860 | Kari Houge | Dietitian, Registered | 8960 York Rd S, Bloomington, MN 55431-1819 | 2020-09-10 |
| 1477167153 | Kayla E King | Dietitian, Registered | 864 S Basswood Dr Apt D, Bloomington, IN 47403-2968 | 2020-09-01 |
| 1164058392 | Hei Jessie Wong | Dietitian, Registered | 929 S Fenbrook Ct, Bloomington, IN 47401-4814 | 2020-03-19 |
| 1093289639 | Hannah Vaughan | Dietitian, Registered | 4101 E Morningside Dr, Bloomington, IN 47408-3146 | 2019-01-16 |
| 1508348228 | Javier Sandoval Jr. | Dietitian, Registered | 516 S Linden Ave, Bloomington, CA 92316-1221 | 2018-08-29 |
| 1164976007 | Rachel Noirot | Dietitian, Registered | 801 N Jordan Ave, Bloomington, IN 47405-2107 | 2016-08-09 |
| 1396141859 | Ellen Roth | Dietitian, Registered | 9 Heartland Dr Ste C, Bloomington, IL 61704-7733 | 2014-11-11 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1710397278 | Randi Gibbs | Dietitian, Registered | 8040 Old Cedar Ave S, Bloomington, MN 55425-1234 | 2014-05-05 |
| 1558697326 | Food Stuff, Inc. | Dietitian, Registered | 10338 N 1750 East Rd, Bloomington, IL 61705-5950 | 2009-10-28 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55420 |
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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.