PEGGY J HIESTAND HARRI (NPI# 1912170549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912170549 |
| Entity Type | Individual |
| Full Name | PEGGY J HIESTAND HARRI |
| Credential | RD,LD,CDE |
| Practice Address |
13071 Nett Lake Rd Nett Lake MN 55772 |
| Mailing Address |
3920 13th Ave E Suite 6 Hibbing MN 55746-3675 |
| Practice Telephone | 2187573295 |
| Practice Fax Number | 2187570222 |
| Mailing Telephone | 2182637540 |
| Mailing Fax Number | 8667320699 |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 720274 | MN | Dietary & Nutritional Service Providers |
| Street Address |
13071 NETT LAKE RD |
| City | NETT LAKE |
| State | MN |
| Zip Code | 55772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396286357 | Joe Witt | Psychologist | 5219 St. John Drive, Nett Lake, MN 55772 | 2017-03-10 |
| 1346600962 | Julie Corradi | Pharmacist | 5219 St. Johns Drive, Nett Lake, MN 55772 | 2016-02-24 |
| 1205134152 | Melissa Joan Grzybowski | Dietitian, Registered | 5219 St. John's Drive, Nett Lake, MN 55772 | 2011-03-02 |
| 1871713321 | Bois Forte Reservation Tribal Council | Clinic/Center | 13071 Nett Lake Road, Suite B, Nett Lake, MN 55772 | 2007-04-26 |
| 1972666469 | Bois Forte Medical Clinic | Clinic/Center | 5219 St John Dr, Nett Lake, MN 55772 | 2006-12-18 |
| 1073530150 | Bois Forte Reservation Tribal Government | Family Medicine | 5219 St. John Dr, Nett Lake, MN 55772 | 2006-07-16 |
| 1649270901 | Bois Forte Reservation Tribal Council | Community/Behavioral Health | 13071 Nett Lake Road, Suite B, Nett Lake, MN 55772 | 2005-07-28 |
| 1528288073 | Bois Forte Human Services | Social Worker | 13090 Westley Drive, Suite B, Nett Lake, MN 55772 | 2007-04-26 |
| 1255815387 | Bois Forte Reservation Tribal Council | Non-emergency Medical Transport (VAN) | 5344 Lake Shore Dr, Nett Lake, MN 55772-1200 | 2018-09-25 |
| 1821153347 | St. Louis & Koochiching Cos Ind School Dist 707 | Local Education Agency (LEA) | 13090 Westley Drive, Nett Lake, MN 55772-8122 | 2006-12-26 |
| Find all providers in zip 55772 | ||||
| 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 |
|---|---|---|---|---|
| 1205134152 | Melissa Joan Grzybowski | Dietitian, Registered | 5219 St. John's Drive, Nett Lake, MN 55772 | 2011-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538202 | Madison Merry Holm | Dietitian, Registered | 2494 Morrison St, Little Canada, MN 55117-1623 | 2020-11-05 |
| 1083213375 | Suzanna Steen | Dietitian, Registered | 2680 County Road 90, Independence, MN 55359-9764 | 2020-10-19 |
| 1780291245 | Meghan Kathleen Nilan | Dietitian, Registered | 7987 Drake Bay, Woodbury, MN 55125-1577 | 2020-09-29 |
| 1275148785 | Breeanna Lynn Goetz | Dietitian, Registered | 25755 655th St, Kasson, MN 55944-1896 | 2020-09-11 |
| 1194330860 | Kari Houge | Dietitian, Registered | 8960 York Rd S, Bloomington, MN 55431-1819 | 2020-09-10 |
| 1689289241 | Alexis Mae Guttormson | Dietitian, Registered | 1057 Grandview Ave W, Roseville, MN 55113-4438 | 2020-09-10 |
| 1194330969 | Alyssa Marie Bossle | Dietitian, Registered | 4914 River Wood Dr, Savage, MN 55378-4600 | 2020-09-09 |
| 1538773528 | Emily Weber | Dietitian, Registered | 5400 Shoreview Ave, Minneapolis, MN 55417-1918 | 2020-09-07 |
| 1881208049 | Cassandra Grace Hosfield | Dietitian, Registered | 9128 Florida Ave N, Brooklyn Park, MN 55445-1649 | 2020-09-04 |
| 1841803624 | Leah Anna Marie Miskowiec | Dietitian, Registered | 2896 88th Ave Ne, Blaine, MN 55449-6761 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PEGGY J HIESTAND HARRI.
| 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.