SUSAN K ROTTY (NPI# 1003878604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003878604 |
| Entity Type | Individual |
| Full Name | SUSAN K ROTTY |
| Credential | RD |
| Practice Address |
8611 W Point Douglas Rd S Cottage Grove MN 55016-4005 |
| Mailing Address |
Po Box 43 Mr 10809 Minneapolis MN 55440-0043 |
| Practice Telephone | 6514581884 |
| Mailing Telephone | 6122624813 |
| Mailing Fax Number | 6122624194 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1761 | MN | Dietary & Nutritional Service Providers |
| Street Address |
8611 W POINT DOUGLAS RD S |
| City | COTTAGE GROVE |
| State | MN |
| Zip Code | 55016-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831168236 | Naomi P. Tetzlaff | Family Medicine | 8611 W Point Douglas Rd S, Cottage Grove, MN 55016-4005 | 2006-03-16 |
| 1639680473 | Vanessa Boerhave | Psychologist | 8611 W Point Douglas Rd S, Cottage Grove, MN 55016 | 2017-10-19 |
| 1154738805 | Emily Sue Raven | Physician Assistant | 8611 W Point Douglas Rd S, Cottage Grove, MN 55016 | 2014-07-15 |
| 1265853220 | Anjanette Finnegan | Pharmacist | 8611 W Point Douglas Rd S, Cottage Grove, MN 55016-4005 | 2013-12-18 |
| 1982952909 | Ekaterina Peterson | Physician Assistant | 8611 W Point Douglas Rd S, Cottage Grove, MN 55016-4005 | 2012-08-23 |
| 1750648671 | Victoria Chiou | Family Medicine | 8611 W Point Douglas Rd S, Cottage Grove, MN 55016-4005 | 2012-04-17 |
| 1568768919 | Allina Health System | Clinic/Center | 8611 W Point Douglas Rd S, Cottage Grove, MN 55016-4005 | 2011-02-02 |
| 1285893594 | James P Mantzaris | Family Medicine | 8611 W Point Douglas Rd S, Cottage Grove, MN 55016-4005 | 2008-06-03 |
| 1508885914 | Walid A Mikhail | Family Medicine | 8611 W Point Douglas Rd S, Cottage Grove, MN 55016-4005 | 2006-07-18 |
| 1972569408 | Alison Mary Peterson | Family Medicine | 8611 W Point Douglas Rd S, Cottage Grove, MN 55016-4005 | 2006-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073161519 | Kathleen Johnson | Technician | 7436 Hinton Park Ave South, Cottage Grove, MN 55016 | 2019-08-28 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1235532771 | Lydia Sirucek | Nurse Practitioner | 8611 E Point Douglas Rd, Cottage Grove, MN 55016 | 2014-09-29 |
| 1366859746 | Home Care Service Providers Inc. | Home Health | 9635 Hamlet Ave, Cottage Grove, MN 55016 | 2014-07-17 |
| 1942622089 | Wal-mart Stores, Inc. | Technician/Technologist | 9300 East Point Douglas Rd S, Cottage Grove, MN 55016 | 2014-01-08 |
| 1255770962 | Southside At The Cottage Grove Site | Family Medicine | 8454 East Point Douglas Road, Cottage Grove, MN 55016 | 2013-06-17 |
| 1710222088 | Santori Chiropractic Center, LLC | Chiropractor | 7155 80th Street So, Cottage Grove, MN 55016 | 2012-11-28 |
| 1609151414 | Kenneth Nworah Okafor | Pharmacist | 7015 East Point Douglas Road, Cottage Grove, MN 55016 | 2011-10-13 |
| 1134432925 | Elizabeth Frances Rezek | Social Worker | 8813 Hale Ave S, Cottage Grove, MN 55016 | 2010-07-21 |
| 1841420882 | Mark Joseph Mangine | Physical Therapist | 6936 Pine Arbor Dr S Ste 150, Cottage Grove, MN 55016 | 2009-07-24 |
| Find all providers in zip 55016 | ||||
| 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 |
|---|---|---|---|---|
| 1679110415 | Kalley Hakes | Dietitian, Registered | 7280 E Point Douglas Rd S, Cottage Grove, MN 55016-3016 | 2019-11-27 |
| 1881709947 | Heather Marie Weir | Dietitian, Registered | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538202 | Madison Merry Holm | Dietitian, Registered | 2494 Morrison St, Little Canada, MN 55117-1623 | 2020-11-05 |
| 1083213375 | Suzanna Steen | Dietitian, Registered | 2680 County Road 90, Independence, MN 55359-9764 | 2020-10-19 |
| 1780291245 | Meghan Kathleen Nilan | Dietitian, Registered | 7987 Drake Bay, Woodbury, MN 55125-1577 | 2020-09-29 |
| 1275148785 | Breeanna Lynn Goetz | Dietitian, Registered | 25755 655th St, Kasson, MN 55944-1896 | 2020-09-11 |
| 1194330860 | Kari Houge | Dietitian, Registered | 8960 York Rd S, Bloomington, MN 55431-1819 | 2020-09-10 |
| 1689289241 | Alexis Mae Guttormson | Dietitian, Registered | 1057 Grandview Ave W, Roseville, MN 55113-4438 | 2020-09-10 |
| 1194330969 | Alyssa Marie Bossle | Dietitian, Registered | 4914 River Wood Dr, Savage, MN 55378-4600 | 2020-09-09 |
| 1538773528 | Emily Weber | Dietitian, Registered | 5400 Shoreview Ave, Minneapolis, MN 55417-1918 | 2020-09-07 |
| 1881208049 | Cassandra Grace Hosfield | Dietitian, Registered | 9128 Florida Ave N, Brooklyn Park, MN 55445-1649 | 2020-09-04 |
| 1841803624 | Leah Anna Marie Miskowiec | Dietitian, Registered | 2896 88th Ave Ne, Blaine, MN 55449-6761 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | COTTAGE GROVE |
| Zip Code | 55016 |
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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.