ELLISA NYBERG (NPI# 1538711213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | 11282001 | 05 | |
SD | UMR | 11282001 | 01 |
Street Address |
1417 N DUBUQUE AVE |
City | SIOUX FALLS |
State | SD |
Zip Code | 57110-6402 |
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 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 |
---|---|---|---|---|
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 |
City | SIOUX FALLS |
Zip Code | 57110 |
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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.