RACHEL FOG (NPI# 1407139868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407139868 |
| Entity Type | Individual |
| Full Name | RACHEL FOG |
| Credential | RD, LD, CDE |
| Practice Address |
14500 99th Ave N Maple Grove MN 55369-4730 |
| Practice Telephone | 7638981000 |
| Mailing Telephone | 7638981000 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2015-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
3087 | MN | Dietary & Nutritional Service Providers |
| Street Address |
14500 99TH AVE N |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-4730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649275777 | Jeannette Louise Wilcox | Radiology | 14500 99th Ave N, Maple Grove, MN 55369-4730 | 2005-06-16 |
| 1215487525 | Wendy Blue | Registered Nurse | 14500 99th Ave N, Maple Grove, MN 55369-4730 | 2016-10-11 |
| 1942667209 | Rachel Leigh Lahti | Physician Assistant | 14500 99th Ave N, Maple Grove, MN 55369-4730 | 2016-01-18 |
| 1033585914 | Michaela Monetti | Psychologist | 14500 99th Ave N, Maple Grove, MN 55369-4730 | 2015-08-14 |
| 1922486109 | Charmi Shah | Internal Medicine | 14500 99th Ave N, Maple Grove, MN 55369-4730 | 2015-05-08 |
| 1356748495 | Nitika Ghattaura | Internal Medicine | 14500 99th Ave N, Maple Grove, MN 55369-4730 | 2014-12-03 |
| 1235571191 | Hanaa Tahir | Physician Assistant | 14500 99th Ave N, Maple Grove, MN 55369-4730 | 2013-07-20 |
| 1003255472 | Sarah Nicole Olson Venning | Counselor | 14500 99th Ave N, Maple Grove, MN 55369-4730 | 2013-06-19 |
| 1275970402 | Sarah A Wernimont | Obstetrics & Gynecology | 14500 99th Ave N, Maple Grove, MN 55369-4730 | 2013-05-29 |
| 1346582558 | Bethany Ann Sabol | Obstetrics & Gynecology | 14500 99th Ave N, Maple Grove, MN 55369-4730 | 2013-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417562497 | Megan Farr | Dietitian, Registered | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-09-15 |
| 1275821761 | Laura Gearman | Dietitian, Registered | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2011-07-18 |
| 1588858039 | Kelly L Costello | Dietitian, Registered | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2007-08-28 |
| City | MAPLE GROVE |
| Zip Code | 55369 |
Please comment or provide details below to improve the information on RACHEL FOG.
| 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.