ALEXIS MAE GUTTORMSON (NPI# 1689289241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689289241 |
| Entity Type | Individual |
| Full Name | ALEXIS MAE GUTTORMSON |
| Credential | RDN, LD |
| Practice Address |
1057 Grandview Ave W Roseville MN 55113-4438 |
| Practice Telephone | 6512392575 |
| Mailing Telephone | 6512392575 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 4215 | MN | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3300 Oakdale Ave N, Robbinsdale, MN 554222926 | 7635816344 |
| Street Address |
1057 GRANDVIEW AVE W |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-4438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| 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 |
|---|---|---|---|---|
| 1518593136 | Sarah Studley | Dietitian, Registered | 1410 Terrace Dr Apt 206, Roseville, MN 55113-1771 | 2020-03-15 |
| 1225586001 | Lori Post | Dietitian, Registered | 1769 Lexington Ave N # 286, Roseville, MN 55113-6522 | 2016-09-21 |
| 1194194415 | Erin Skinner | Dietitian, Registered | 1 Adventist Health Way, Roseville, CA 95661-3266 | 2015-09-16 |
| 1295101749 | Jennifer Hirsch | Dietitian, Registered | 402 Zamzow Ct, Roseville, CA 95747-6894 | 2015-08-19 |
| 1457743700 | Josie Turner | Dietitian, Registered | 31851 Gratiot Ave, Roseville, MI 48066-4527 | 2015-02-24 |
| 1548650674 | Kate Munson | Dietitian, Registered | 1751 County Road B W, 300, Roseville, MN 55113-4081 | 2015-01-27 |
| 1972853646 | Megan Elissa Wollenberg | Dietitian, Registered | 1675 Vernon St Unit 40, Roseville, CA 95678-3967 | 2012-09-10 |
| 1356563142 | Kimberly Caudill | Dietitian, Registered | 970 Reserve Dr Ste 100, Roseville, CA 95678-1377 | 2007-05-03 |
| 1760443303 | Christine M Woodward | Dietitian, Registered | 1650 Lead Hill Blvd., Roseville, CA 95661 | 2006-03-31 |
| 1982221321 | Diane Leszczynski | Dietitian, Registered | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-07-01 |
| Find all providers in ROSEVILLE | ||||
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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.