MARY MAUREEN BAZILLE (NPI# 1700042702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700042702 |
| Entity Type | Individual |
| Full Name | MARY MAUREEN BAZILLE |
| Credential | RD |
| Practice Address |
2450 Riverside Ave Minneapolis MN 55454-1450 |
| Practice Telephone | 6122734395 |
| Mailing Telephone | 6122734395 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2010-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | 994556 | VA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 004909976 | 05 |
| Street Address |
2450 RIVERSIDE AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454-1450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568462570 | Sreejaya Veluvali | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2005-08-01 |
| 1588265375 | Fairview Health Services | General Acute Care Hospital | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-11-06 |
| 1215535927 | Katrina Joelle Christian | Student in an Organized Health Care Education/Training Program | 2450 Riverside Ave, Department of Pediatrics, 6 East Building, Minneapolis, MN 55454-5510 | 2020-10-14 |
| 1023616208 | Jodi Renee Nelson | Psychologist | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-10-11 |
| 1912504150 | Pamela Norling | Counselor | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-10-01 |
| 1225635345 | Trevor Ryan Goldsmith | Nurse Anesthetist, Certified Registered | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-10-01 |
| 1215534342 | Michelle L White | Marriage & Family Therapist | 2450 Riverside Ave, Attn: Adult Cd Lodging Plus, Minneapolis, MN 55454-1450 | 2020-10-01 |
| 1295341048 | Tobias Zander Donlon | Student in an Organized Health Care Education/Training Program | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-09-17 |
| 1417562497 | Megan Farr | Dietitian, Registered | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-09-15 |
| 1871101238 | Fairview Express Care | General Practice | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366049 | Oswald Digestive Clinic LLC | Nutritionist | 2893 Knox Ave S Apt 607, Minneapolis, MN 55408-1865 | 2020-11-02 |
| 1417320276 | Miranda Ebner | Nutritionist | 5739 Garfield Ave, Minneapolis, MN 55419-1715 | 2015-11-02 |
| 1205348802 | Jessica Louise Haas | Nutritionist | 4450 Nicollet Ave, Minneapolis, MN 55419-5035 | 2017-11-04 |
| 1396139416 | Elizabeth Kathleen Mishler Rosenstein | Nutritionist | 701 Park Ave, Hennepin County Medical Center, Minneapolis, MN 55415-1623 | 2015-03-26 |
| 1013307909 | Aimee M Tritt | Nutritionist | 701 Park Ave, Hennepin County Medical Center, Minneapolis, MN 55415-1623 | 2015-01-29 |
| 1962830802 | Teri Lynn Rose | Nutritionist | 2822 W 43rd St, Ste 200, Minneapolis, MN 55410-1696 | 2013-10-30 |
| 1861570426 | Carolyn Ward Denton | Nutritionist | 2833 Chicago Ave, Minneapolis, MN 55407-1319 | 2006-11-01 |
| 1740247246 | Karen Diane Dougherty | Nutritionist | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066456 | Cha Lee | Nutritionist | 285 George St W, Saint Paul, MN 55107-2759 | 2020-09-07 |
| 1356954317 | Deborah J Prelesnik | Nutritionist | 22710 Harlow Ave, Jordan, MN 55352-9472 | 2020-08-28 |
| 1063057420 | Kathleen Erin O'meara | Nutritionist | 7101 York Ave S Ste 157, Edina, MN 55435-4420 | 2019-11-08 |
| 1811494099 | Serina Aubrecht | Nutritionist | 7908 Bryant Court North, Brooklyn Park, MN 55444-2071 | 2018-04-12 |
| 1518493212 | Kait Stenzel | Nutritionist | 8942 Carriage Hill Rd, Savage, MN 55378-2290 | 2017-05-02 |
| 1326391665 | Katie Ann Jasper | Nutritionist | 997 Goodrich Ave, Saint Paul, MN 55105-3133 | 2012-10-24 |
| 1174801047 | Ioulia Igorevna Trouskova | Nutritionist | 9953 Grouse St Nw, Coon Rapids, MN 55433-5531 | 2011-07-26 |
| 1801106067 | Catherine Johnson Bogolub | Nutritionist | 1424 Lincoln Ave, Saint Paul, MN 55105-2216 | 2010-10-20 |
| 1558509364 | Christina Michele Swigart | Nutritionist | 7445 96th St S, Cottage Grove, MN 55016-3866 | 2009-02-02 |
| 1184815318 | Carolyn Genette Decker | Nutritionist | 241 Atlantic Avenue East, Dassel, MN 55325-0000 | 2007-08-05 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55454 |
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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.