VIRGINIA L BENNETT (NPI# 1033172036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033172036 |
| Entity Type | Individual |
| Full Name | VIRGINIA L BENNETT |
| Other Name | VIRGINIA PFEIFER BENNETT |
| Credential | MS, RD, LD |
| Practice Address |
1540 Lake St S Forest Lake MN 55025-2628 |
| Mailing Address |
Po Box 43 Mr 10809 Minneapolis MN 55440-0043 |
| Practice Telephone | 6514647100 |
| Practice Fax Number | 6519825515 |
| Mailing Telephone | 6122624813 |
| Mailing Fax Number | 6122624194 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2008-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1018 | MN | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619190212 | Virginia H Bennett | Nurse Practitioner | 223 East Center St, Manchester, CT 06040 | 2007-04-11 |
| 1851999510 | Virginia Mildred Bennett | Pharmacist | 1905 Mccoy Rd, Sun Prairie, WI 53590-2529 | 2020-10-15 |
| 1578953618 | Virginia Elizabeth Bennett | Counselor | 100 W 3rd St Ste 304, Owensboro, KY 42303-4129 | 2015-01-28 |
| 1073681813 | Virginia Bennett | Technician, Other | 615 W Moreland Blvd, Waukesha, WI 53188-2462 | 2006-12-01 |
| Street Address |
1540 LAKE ST S |
| City | FOREST LAKE |
| State | MN |
| Zip Code | 55025-2628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104808534 | C Scott Kammer | Family Medicine | 1540 Lake St S, Forest Lake, MN 55025-2628 | 2005-11-20 |
| 1366049975 | Nicole M Arndt-wenger | Social Worker | 1540 Lake St S, Forest Lake, MN 55025-2628 | 2020-10-06 |
| 1023551702 | Kathryn Lee Isham | Psychologist | 1540 Lake St S, Forest Lake, MN 55025-2628 | 2016-11-29 |
| 1760774574 | Kelsey Lee Hultman | Family Medicine | 1540 Lake St S, Forest Lake, MN 55025-2628 | 2011-05-11 |
| 1619266608 | Benjamin Dashiell Lambertson | Family Medicine | 1540 Lake St S, Forest Lake, MN 55025-2628 | 2011-03-31 |
| 1447556261 | Allina Health System | Clinic/Center | 1540 Lake St S, Forest Lake, MN 55025-2628 | 2011-01-27 |
| 1487889929 | Brita Lara Wegener | Physician Assistant | 1540 Lake St S, Forest Lake, MN 55025-2628 | 2009-05-28 |
| 1023252731 | Oluwakemi Tinuke Olowoyo | Family Medicine | 1540 Lake St S, Forest Lake, MN 55025-2628 | 2009-04-24 |
| 1306011416 | Brett J Salek | Family Medicine | 1540 Lake St S, Forest Lake, MN 55025-2628 | 2008-04-29 |
| 1033393178 | Vivian Lilly Wireko-brobby | Family Medicine | 1540 Lake St S, Forest Lake, MN 55025-2628 | 2007-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043846173 | Persistence Physical Therapy LLC | Clinic/Center | 2009 W Broadway Ave, Ste 400 Pmb 131, Forest Lake, MN 55025 | 2020-03-20 |
| 1255973319 | Connie Rettig | Technician | 908 North Shore Drive, Forest Lake, MN 55025 | 2019-10-10 |
| 1003394479 | Malissa Ann Costanzo | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 844 8th Ave Se, Forest Lake, MN 55025 | 2018-07-30 |
| 1669754735 | Brent Alan Millard | Pharmacist | 1207 West Broadway Ave, Forest Lake, MN 55025 | 2011-09-15 |
| 1982842167 | Lakes Center for Youth and Families | Community/Behavioral Health | 20 N Lake Street, Suite 103, Forest Lake, MN 55025 | 2009-01-27 |
| 1487843355 | Paul Luke Mladnick | Marriage & Family Therapist | 1068 So Lake St, #109, Forest Lake, MN 55025 | 2007-10-17 |
| 1740477678 | Rita Lynn Scanlan | Occupational Therapist | 604 Ne 1st St, Birchwood Health Care Center, Forest Lake, MN 55025 | 2007-09-25 |
| 1114053113 | Senior Care Forest Lake, LLC | Skilled Nursing Facility | 604 N.e. First Street, Forest Lake, MN 55025 | 2007-02-26 |
| 1073672101 | Catharine B Ruther | Dentist | 956 West Broadway, Lakes Dental Clinic, Forest Lake, MN 55025 | 2006-12-06 |
| 1407914849 | Ervin George Savord | Dentist | 255 Highway 97, Suite 1b, Forest Lake, MN 55025 | 2006-12-05 |
| Find all providers in zip 55025 | ||||
| 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 |
|---|---|---|---|---|
| 1902868342 | Rhonda M Welsch | Dietitian, Registered | 1540 Lake St S, Forest Lake, MN 55025-2628 | 2006-04-03 |
| 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 | FOREST LAKE |
| Zip Code | 55025 |
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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.