LORI JEAN TREB (NPI# 1538497276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538497276 |
| Entity Type | Individual |
| Full Name | LORI JEAN TREB |
| Practice Address |
11855 Ulysses St Ne Blaine MN 55434-3947 |
| Practice Telephone | 7637854200 |
| Practice Fax Number | 7637858419 |
| Mailing Telephone | 7637854200 |
| Mailing Fax Number | 7637858419 |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1229 | MN | Dietary & Nutritional Service Providers |
| Street Address |
11855 ULYSSES ST NE |
| City | BLAINE |
| State | MN |
| Zip Code | 55434-3947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003893066 | Stacy L Noyes | Obstetrics & Gynecology | 11855 Ulysses St Ne, Blaine, MN 55434-3947 | 2005-12-29 |
| 1427606896 | David Moga | Physical Therapist | 11855 Ulysses St Ne, Blaine, MN 55434-3947 | 2019-08-29 |
| 1336675560 | North Memorial Health Care | Clinic/Center | 11855 Ulysses St Ne, #110, Blaine, MN 55434-3947 | 2017-05-09 |
| 1811361603 | Pamela Rhiel | Nurse Practitioner | 11855 Ulysses St Ne, Suite 250, Blaine, MN 55434-3947 | 2015-11-17 |
| 1629405931 | Rachel Sinnen | Physician Assistant | 11855 Ulysses St Ne, Blaine, MN 55434-3947 | 2013-10-01 |
| 1538408943 | North Memorial Health Care | Clinic/Center | 11855 Ulysses St Ne, Blaine, MN 55434-3947 | 2013-02-05 |
| 1942547096 | Blaine Urgency Center, LLC | Clinic/Center | 11855 Ulysses St Ne, Blaine, MN 55434-3947 | 2013-01-09 |
| 1467735407 | Carly L. Mattson | Physical Therapist | 11855 Ulysses St Ne, Ste 20, Blaine, MN 55434-3947 | 2011-09-26 |
| 1760616031 | Blaine Mn Multi Specialty Asc LLC | Clinic/Center | 11855 Ulysses St Ne, Suite 270, Blaine, MN 55434-3947 | 2009-05-14 |
| 1144462219 | Lakeland Health Services, Inc. | Durable Medical Equipment & Medical Supplies | 11855 Ulysses St Ne, Suite 205 and Suite 210, Blaine, MN 55434-3947 | 2009-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628591 | Rahul Farmah | Optometrist | 680 Hwy 10 Ne, Blaine, MN 55434 | 2020-08-08 |
| 1033770714 | Enduring Home Health Care Corp | Home Health | 10812 Fillmore Street, Blaine, MN 55434 | 2019-06-24 |
| 1932762408 | Vital Agency LLC | In Home Supportive Care | 12864 Fillmore Street Ne, Blaine, MN 55434 | 2019-04-19 |
| 1548751654 | Dustin Adam Kakach | Pharmacist | 600 County Hwy 10, Blaine, MN 55434 | 2018-05-24 |
| 1598253445 | Jacob James Apland | Behavioral Analyst | 12401 Oak Park Blvd Ne Apt 316, Blaine, MN 55434 | 2018-04-26 |
| 1962921924 | Mw Minnetonka Operating LLC | Assisted Living Facility | 1005 Paul Parkway Ne, Blaine, MN 55434 | 2017-09-11 |
| 1922526961 | Blaine Asc, LLC | Clinic/Center | 11225 Ulysses Street Northeast, Blaine, MN 55434 | 2017-08-30 |
| 1629591334 | Minnehaha Transportation Inc | Non-emergency Medical Transport (VAN) | 2507 Walnut St, Roseville, MN 55434 | 2017-07-25 |
| 1629590872 | Alexandra Staum Reif | Pediatrics | 11107 Ulysses Street Ne, Suite 100, Blaine, MN 55434 | 2017-07-10 |
| 1962939546 | Nicolette Gengel | Dentist | 1384 109th Ave Ne Ste 200, Blaine, MN 55434 | 2017-05-15 |
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| 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 |
|---|---|---|---|---|
| 1841803624 | Leah Anna Marie Miskowiec | Dietitian, Registered | 2896 88th Ave Ne, Blaine, MN 55449-6761 | 2020-08-31 |
| 1093196321 | Lauren Carlson | Dietitian, Registered | 10961 Club West Pkwy Ste 100, Blaine, MN 55449-5867 | 2015-06-11 |
| 1144665043 | Jessica Scott Wright | Dietitian, Registered | 373 Martin St, Suite 204, Blaine, WA 98230-4108 | 2013-05-06 |
| 1659741726 | The Fare Square, LLC | Dietitian, Registered | 373 Martin St, Suite 204, Blaine, WA 98230-4108 | 2015-10-01 |
| 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 |
| 1184237919 | Emma M Backes | Dietitian, Registered | 32006 Northwood Ln, Saint Cloud, MN 56303-9517 | 2020-08-31 |
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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.