MELISSA RAE HENDRICKSON (NPI# 1891905568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891905568 |
| Entity Type | Individual |
| Full Name | MELISSA RAE HENDRICKSON |
| Credential | RD, LD |
| Practice Address |
303 Catlin St. Buffalo MN 55313 |
| Mailing Address |
513 W 3rd St Monticello MN 55362-8501 |
| Practice Telephone | 7626847940 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2395 | MN | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184923385 | Melissa Lynn Hendrickson | Speech-Language Pathologist | 517 N 9th St, Noblesville, IN 46060-1948 | 2011-03-28 |
| 1972823110 | Melissa T Hendrickson | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2705 | 2010-06-10 |
| 1730243767 | Melissa A Hendrickson X | Clinic/Center | 425 Broadway St, Paducah, KY 42001-0713 | 2006-12-21 |
| Street Address |
303 CATLIN ST. |
| City | BUFFALO |
| State | MN |
| Zip Code | 55313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| 1386279610 | Julie Lee | Pharmacist | 1300 Hwy 55, Buffalo, MN 55313 | 2020-03-06 |
| 1023510591 | Brenda Renee Bakken | Licensed Practical Nurse | 25 1st Ave Ne Suite 100, Buffalo, MN 55313 | 2018-03-01 |
| 1760938716 | Karen Kahler | Counselor | 1772 Donnelly Dr Nw, Buffalo, MN 55313 | 2016-08-30 |
| 1235514118 | Minnesota Teen Challenge, Inc. | Exclusive Provider Organization | 100 Garrison Ave Ne, Buffalo, MN 55313 | 2015-07-21 |
| 1912391723 | Cassandra Loeffler | Chiropractor | 1200 Mn 25, Buffalo, MN 55313 | 2015-03-19 |
| 1134531395 | Total Health and Wellness, Inc. | Chiropractor | 639 Ryan's Way, Buffalo, MN 55313 | 2014-05-22 |
| 1366797946 | Brenda Kay Lenz | Nurse Practitioner | 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 | 2012-07-19 |
| 1801190327 | Professional Counseling Center | Community/Behavioral Health | 7 Highway 55 West, Unit 3, Wright One Plaza, Buffalo, MN 55313 | 2010-12-23 |
| 1619140456 | Lisa Marlene Marty | Speech-Language Pathologist | 2144 County Rd 12 South, Buffalo, MN 55313 | 2008-04-11 |
| Find all providers in zip 55313 | ||||
| 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 |
|---|---|---|---|---|
| 1063023505 | Rachel Laster | Dietitian, Registered | 33 Manhart St, Buffalo, NY 14215-3224 | 2020-08-10 |
| 1720639792 | Clara Isabelle Nosek | Dietitian, Registered | 960 Busti Ave Apt 405, Buffalo, NY 14213-2100 | 2019-09-21 |
| 1326696352 | Lai Yeng Chung | Dietitian, Registered | 742 Delaware Ave, Buffalo, NY 14209-2202 | 2019-09-03 |
| 1891254462 | Kaitlyn E Summers | Dietitian, Registered | 116 Plymouth Ave # 2, Buffalo, NY 14201-1212 | 2019-03-13 |
| 1215495494 | Tina Colaizzo-anas | Dietitian, Registered | 214 Caudell Hall, 1300 Elmwood Avenue, Buffalo, NY 14222 | 2019-03-07 |
| 1114400702 | Kim Bloomer | Dietitian, Registered | 40 La Riviere Dr, Buffalo, NY 14202-4344 | 2018-09-11 |
| 1942797071 | Kathleen A Adam | Dietitian, Registered | 728 Mckinley Pkwy, Buffalo, NY 14220-1524 | 2018-04-14 |
| 1689177792 | Diana Korzhukova | Dietitian, Registered | 572 Potomac Ave Apt 4, Buffalo, NY 14222-1153 | 2018-03-14 |
| 1932620960 | Katy A Graf | Dietitian, Registered | 101 Aurora Dr, Buffalo, NY 14215-2041 | 2017-06-29 |
| 1972041523 | Drew Hemler | Dietitian, Registered | 78 Prospect Ave, Apt 3, Buffalo, NY 14201-2401 | 2017-02-03 |
| Find all providers in BUFFALO | ||||
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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.