JAMIE WITHROW (NPI# 1013386457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013386457 |
| Entity Type | Individual |
| Full Name | JAMIE WITHROW |
| Credential | RD,LD,CDE |
| Practice Address |
320 E Main St Crosby MN 56441-1645 |
| Practice Telephone | 2185467000 |
| Mailing Telephone | 2185467000 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 136A00000X | Dietetic Technician, Registered | 1087979 | MN | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902199896 | Jamie Withrow | Early Intervention Provider Agency | 4 Haven Ct, Freeport, IL 61032-3507 | 2011-05-25 |
| Street Address |
320 E MAIN ST |
| City | CROSBY |
| State | MN |
| Zip Code | 56441-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356332407 | Randall Ora Card | Family Medicine | 320 E Main St, Crosby, MN 56441-1645 | 2005-10-28 |
| 1538776356 | Jenna Wentzlaff | Pharmacist | 320 E Main St, Crosby, MN 56441-1645 | 2020-09-25 |
| 1811504640 | Shawn Smart | Pharmacist | 320 E Main St, Crosby, MN 56441-1645 | 2020-09-25 |
| 1578176798 | Emily A Hilgers | Nurse Practitioner | 320 E Main St, Crosby, MN 56441-1645 | 2020-08-27 |
| 1053938381 | Katelyn Sarlette | Physician Assistant | 320 E Main St, Crosby, MN 56441-1645 | 2020-07-02 |
| 1962029678 | Ashley L Yager | Nurse Practitioner | 320 E Main St, Crosby, MN 56441-1645 | 2020-06-29 |
| 1669098307 | Ashley Laura Hanson | Nurse Practitioner | 320 E Main St, Crosby, MN 56441-1645 | 2020-06-18 |
| 1104447481 | Jesse A Oman | Nurse Practitioner | 320 E Main St, Crosby, MN 56441-1645 | 2020-04-28 |
| 1366062762 | Nathan Douglas Lehman | Physician Assistant | 320 E Main St, Crosby, MN 56441-1645 | 2020-04-26 |
| 1134769243 | Molly Jean Edmundson | Nurse Anesthetist, Certified Registered | 320 E Main St, Crosby, MN 56441-1645 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043381676 | Shannon Marie Smith | Chiropractor | 5 West Main Street, Crosby, MN 56441 | 2006-11-13 |
| 1841207594 | Bruce B Cunningham | Family Medicine | 320 East Main St, Crosby, MN 56441 | 2006-08-02 |
| 1215911391 | Paul R Carey | Family Medicine | 320 East Main Street, Crosby, MN 56441 | 2005-12-02 |
| 1629550975 | Samuel T Feyder | Physician Assistant | 320 East Main Street, Crosby, MN 56441 | 2018-09-04 |
| 1205299385 | Ann E Johnson | Obstetrics & Gynecology | 320 East Main Street, Crosby, MN 56441 | 2016-04-05 |
| 1407238389 | Brian Holmgren | Internal Medicine | 320 East Main Street, Crosby, MN 56441 | 2015-06-26 |
| 1285013367 | Paige Elizabeth Holmgren | Family Medicine | 320 East Main Street, Crosby, MN 56441 | 2015-05-22 |
| 1891182341 | Robert G Johnson | Surgery | 320 East Main Street, Crosby, MN 56441 | 2015-04-22 |
| 1932514320 | Melissa Sueann Dyrdal | Nurse Practitioner | 320 East Main Street, Crosby, MN 56441 | 2014-06-25 |
| 1477973063 | James J Stokman | Orthopaedic Surgery | 320 East Main Street, Crosby, MN 56441 | 2014-04-22 |
| Find all providers in zip 56441 | ||||
| Taxonomy Code | 136A00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietetic Technician, Registered |
| A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; 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 Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748839 | Stephanie Grindeland | Dietetic Technician, Registered | 5354 Parkdale Dr Ste 200, Minneapolis, MN 55416-1617 | 2020-10-26 |
| 1639541865 | Nichole Wheatley | Dietetic Technician, Registered | 2230 Como Ave, Saint Paul, MN 55108-1720 | 2015-10-27 |
| 1710358973 | Michele Rock | Dietetic Technician, Registered | 2265 Como Ave, Saint Paul, MN 55108-1737 | 2015-10-14 |
| 1679843296 | Sheila R. Smallfield | Dietetic Technician, Registered | 1420 E College Dr, Marshall, MN 56258-2065 | 2012-01-12 |
| 1053570580 | Elizabeth A Christopherson | Dietetic Technician, Registered | 6500 Excelsior Blvd, St Louis Park, MN 55426 | 2008-06-09 |
| 1558564914 | Sarah L Schneeweis | Dietetic Technician, Registered | 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426-1728 | 2007-06-06 |
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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.