ELLISA NYBERG


Address: 1417 N Dubuque Ave, Sioux Falls, SD 57110-6402
Phone: 6053591065

ELLISA NYBERG (NPI# 1538711213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538711213
Entity Type Individual
Full Name ELLISA NYBERG
Credential MS, RDN, LN, LD
Practice Address 1417 N Dubuque Ave
Sioux Falls
SD 57110-6402
Practice Telephone 6053591065
Mailing Telephone 6053591065
Enumeration Date 2019-07-12
Last Update Date 2019-07-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133V00000X Dietitian, Registered 2298 MN Dietary & Nutritional Service Providers
Y 133V00000X Dietitian, Registered 0219 SD Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SD 11282001 05
SD UMR 11282001 01

Office Location

Street Address 1417 N DUBUQUE AVE
City SIOUX FALLS
State SD
Zip Code 57110-6402

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831661438 Lisa Jo Nafziger Social Worker 3216 E 10th St, Sioux Falls, SD 57110 2018-12-19
1700146396 Avera Mckennan Clinic/Center 1035 South Highline Pl, Ste #4, Sioux Falls, SD 57110 2012-05-17
1467517011 Chad Jerome Hanson Physical Therapist 1914 S Sycamore Ave, Suite 108, Sioux Falls, SD 57110 2006-12-26
1407834419 Lanpher Chiropractic Chiropractor 506 N Sycamore Ave, Sioux Falls, SD 57110 2006-01-09
1427605021 Nicole Lindy Rasmussen Pharmacist Walgreens Pharmacy, 1720 South Sycamore Ave, Sioux Falls, SD 57110 2019-08-20
1285672246 John Wesley Joseph Sivesind Optometrist 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 2006-06-03
1487133047 Stephanie Preheim Pharmacist 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 2018-08-14
1124109194 Wal-mart Stores, Inc. Technician/Technologist 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 2006-10-18
1407949753 Dr. John W Sivesind, O.d., P.C. Optometrist 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 2006-10-01
1669499836 Walmart Inc. Durable Medical Equipment & Medical Supplies 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 2006-07-16
Find all providers in zip 57110

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669089116 Brigitta Bly Dietitian, Registered 6500 E Steamboat Trl, Sioux Falls, SD 57110-8541 2020-09-29
1033745583 Morgan Taylor Vander Zee Dietitian, Registered 4805 S Tribbey Trl, Sioux Falls, SD 57106-1989 2020-03-17
1780214395 Lindsey Jo Baker Dietitian, Registered 8204 E Arctic Willow Cir, Sioux Falls, SD 57110-7000 2020-01-22
1841820610 Rooted Nutrition Therapies, LLC Dietitian, Registered 2808 W 31st St, Sioux Falls, SD 57105-3310 2020-01-21
1326682170 Myranda Dunmire Dietitian, Registered 4800 S Tennis Ln Apt 513, Sioux Falls, SD 57106-2261 2019-11-05
1003398256 Gavin Van De Walle Dietitian, Registered 1601 E 77th St Apt 1428, Sioux Falls, SD 57108-3036 2018-09-04
1780170688 Andrea Jean Hanson Dietitian, Registered 1325 S Cliff Ave Ofc 1504a, Sioux Falls, SD 57105-1007 2018-07-03
1992291082 Angela Kay Miller Dietitian, Registered 1704 N Notley Ct, Sioux Falls, SD 57110-6404 2018-07-02
1659667400 Marsha Mcculloch Dietitian, Registered 7717 W Snapdragon St Unit 4, Sioux Falls, SD 57106-5173 2011-06-21
1083855217 Megan Jean Woodraska Dietitian, Registered 1900 S. Marion Rd., Sioux Falls, SD 57106 2009-03-18
Find all providers in SIOUX FALLS

Competitor

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City SIOUX FALLS
Zip Code 57110

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Dataset Information

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.

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