DR. SUSAN KAY RAATZ


Address: 1539 Grand Ave, Saint Paul, MN 55105-2229
Phone: 8338332590

DR. SUSAN KAY RAATZ (NPI# 1609334739) 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) 1609334739
Entity Type Individual
Full Name DR. SUSAN KAY RAATZ
Credential RD
Practice Address 1539 Grand Ave
Saint Paul
MN 55105-2229
Mailing Address 806 Linwood Ave Apt 4
Saint Paul
MN 55105-3399
Practice Telephone 8338332590
Mailing Telephone 6123852567
Enumeration Date 2019-03-07
Last Update Date 2019-03-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
1747 MN Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN BOARD OF DIETETICS AND NUTRITION PRACTICE 1747 01

Office Location

Street Address 1539 GRAND AVE
City SAINT PAUL
State MN
Zip Code 55105-2229

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114076221 Carron Perry Chiropractor 1539 Grand Ave, Saint Paul, MN 55105-2229 2007-01-09
1700406345 Discovery Chiropractic Pllc Chiropractor 1539 Grand Ave, Saint Paul, MN 55105-2229 2020-04-23
1932347218 Paige Bartholome Psychologist 1539 Grand Ave, Saint Paul, MN 55105-2229 2009-01-26
1841341484 Meredith Leary Johnson Massage Therapist 1539 Grand Ave, Saint Paul, MN 55105-2229 2007-01-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437704020 Grand Avenue Smiles Dentist 1845 Grand Avenue, St. Paul, MN 55105 2019-08-09
1205304839 Michelle Marie Loken Price Acupuncturist 877 Lincoln Ave, Saint Paul, MN 55105 2018-11-13
1326566936 Becky Lynn Lawyer Counselor 1704 Palace Ave, St Paul, MN 55105 2017-09-04
1679020226 Internal Revolution Counseling and Consulting, L.L.C. Psychologist 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 2016-09-01
1487059689 Jennifer Mason Lactation Consultant, Non-RN 1382 Summit Ave, Saint Paul, MN 55105 2014-10-30
1679818850 Marc Lane Wolfson Registered Nurse 1148 Grand Avenue, St. Paul, MN 55105 2012-11-29
1457602781 Charting Your Success Social Worker 2050 St Clair Avenue, Suite 1e, St Paul, MN 55105 2012-09-26
1871867549 Stacia Hanson Ma Lp LLC Psychologist 889 Grand Avenue, Suite 203, St Paul, MN 55105 2012-02-28
1265718142 Caitlin Marie Young Midwife 968 Grand Ave., St. Paul, MN 55105 2011-10-24
1659512622 Wellness Cooperative LLC Chiropractor 976 Grand Ave., St. Paul, MN 55105 2009-03-20
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Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184986010 Kayley L Gamm Dietitian, Registered 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 2012-06-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073085437 Sarah Pavelka Dietitian, Registered 8634 Carriage Hill Ct, Savage, MN 55378-2373 2018-12-26
1558884791 Mn Weight Control Centers Inc. Dietitian, Registered 3495 Northdale Blvd Nw Ste 101, Coon Rapids, MN 55448-6713 2017-07-19
1366890956 Nutrition Proportion Dietitian, Registered 1238 Woodley St E, Northfield, MN 55057-2956 2016-05-25
1740229095 Jessica Quinonez-weislow Dietitian, Registered 880 Blue Gentian Rd, Suite 150, Eagan, MN 55121-1669 2006-06-05
1699714923 Sara Johnson Dietitian, Registered 9855 Hospital Dr Ste 102, Maple Grove, MN 55369-4648 2006-06-05
1821594656 Bronwyn Lissa Knaebe Dietitian, Registered 1185 Town Centre Dr Ste 220, Eagan, MN 55123-1186 2018-04-02
1649620592 Amy Luther Dietitian, Registered 705 Pleasant Ave S, Park Rapids, MN 56470-1440 2016-06-21
1124406848 Heather Erickson Dietitian, Registered 320 E Main St, Crosby, MN 56441-1645 2015-05-14
1780860809 Danielle Morse Dietitian, Registered 2450 Riverside Ave, Minneapolis, MN 55454-1450 2008-01-18
1255408951 Eat Well Nutrition Therapy, LLC Dietitian, Registered 202 1/2 N Cedar Ave, Owatonna, MN 55060-2392 2006-11-29
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Competitor

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City SAINT PAUL
Zip Code 55105

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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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