SARA MUTZENBERGER (NPI# 1811311814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811311814 |
| Entity Type | Individual |
| Full Name | SARA MUTZENBERGER |
| Credential | CDE |
| Practice Address |
725 Hamline St - Altru Family Medicine Residency Grand Forks ND 58203 |
| Mailing Address |
2401 Demers Ave Grand Forks ND 58201 |
| Practice Telephone | 7017806400 |
| Mailing Telephone | 7017801891 |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2019-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | R34242 | ND | Dietary & Nutritional Service Providers |
| Street Address |
725 HAMLINE ST - ALTRU FAMILY MEDICINE RESIDENCY |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497833933 | Casey J Ryan | Internal Medicine | 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203 | 2006-11-01 |
| 1124557566 | Laura Morgan | Family Medicine | 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203 | 2017-06-08 |
| 1881094837 | Sarah Kuster | Dietitian, Registered | 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203 | 2014-08-27 |
| 1619258951 | Jana Kaye Sherry | Registered Nurse | 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203 | 2011-08-31 |
| 1700011459 | Andrew V Gasparini | Family Medicine | 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203 | 2009-05-26 |
| 1821261256 | Sara Nausheen | Internal Medicine | 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203 | 2008-04-07 |
| 1851562375 | Shanta Gautham | Internal Medicine | 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203 | 2008-03-13 |
| 1396948493 | Lynn M Holum | Dietitian, Registered | 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203 | 2007-06-06 |
| 1750584850 | Susan Marie Streitz | Dietitian, Registered | 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203 | 2007-06-06 |
| 1922201029 | Danika Ann Warner Noreen | Dietitian, Registered | 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326354978 | Valley Med Flight Inc | Ambulance | 2403 Air Cargo Dr, Grand Forks, ND 58203 | 2010-08-20 |
| 1285842765 | Amanda Caroline Ostlie | Physical Therapy Assistant | 1809 5th Ave N, Grand Forks, ND 58203 | 2007-05-18 |
| 1346396314 | Carla Steen | Speech-Language Pathologist | 501 N Columbia Rd Stop 8040, Grand Forks, ND 58203 | 2007-01-25 |
| 1457408239 | Rebecca Ann Westereng | Dietitian, Registered | 725 Hamline St Altru Family Medicine Residency, Grand Forks, ND 58203 | 2007-01-04 |
| 1912063587 | Northridge Counseling Centre Inc | Counselor | 215 N 3rd Street, Suite 202a, Grand Forks, ND 58203 | 2006-12-28 |
| 1245318625 | Charles Lee Bridgeford | Dentist | 117 North Washington Street, Grand Forks, ND 58203 | 2006-11-01 |
| 1033217955 | Diane Kay Baumbach | Social Worker | 2755 10th Ave N, Grand Forks, ND 58203 | 2006-09-21 |
| 1841217320 | Heidi J Philpot | Family Medicine | 725 Hamline Street, Grand Forks, ND 58203 | 2006-07-17 |
| 1902415805 | Aura Patricia Ileto Azarcon | Student in an Organized Health Care Education/Training Program | 725 Hamline Street, Altru Family Medicine Residency, Grand Forks, ND 58203 | 2020-07-27 |
| 1023626462 | Gianfranco Tarsitano | Family Medicine | 725 Hamline Street, Grand Forks, ND 58203 | 2020-07-22 |
| Find all providers in zip 58203 | ||||
| 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 |
|---|---|---|---|---|
| 1740541218 | Katie Frushour | Dietitian, Registered | 449 Tuskegee Airman Boulevard, Building 308, Grand Forks, ND 58205 | 2012-05-31 |
| 1063702389 | Beverly M Benda | Dietitian, Registered | 1114 S 19th St, Grand Forks, ND 58201-5122 | 2011-04-08 |
| 1467617464 | Arntson Enterprises, Inc. | Dietitian, Registered | 1451 44th Ave S Ste 121d, Grand Forks, ND 58201-3493 | 2008-07-20 |
| 1457408239 | Rebecca Ann Westereng | Dietitian, Registered | 725 Hamline St Altru Family Medicine Residency, Grand Forks, ND 58203 | 2007-01-04 |
| 1174011100 | Ashley Citrowske | Dietitian, Registered | 801 Princeton St, Grand Forks, ND 58202-6099 | 2018-04-25 |
| 1881094837 | Sarah Kuster | Dietitian, Registered | 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203 | 2014-08-27 |
| 1003258203 | John Crist | Dietitian, Registered | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2013-07-29 |
| 1407101066 | Karina Wittmann | Dietitian, Registered | 2891 2nd Ave N Stop 9038, 100 Mccannel Hall, Grand Forks, ND 58202-9038 | 2012-07-19 |
| 1063604783 | Cynthia A O'brien-nimens | Dietitian, Registered | 1451 44th Ave S, Suite 112d, Grand Forks, ND 58201-3434 | 2007-08-16 |
| 1396948493 | Lynn M Holum | Dietitian, Registered | 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203 | 2007-06-06 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58203 |
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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.