SUSAN T. SEYKORA (NPI# 1912982653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912982653 |
Entity Type | Individual |
Full Name | SUSAN T. SEYKORA |
Credential | R.D., L.D. |
Practice Address |
501 N State St Waseca Medical Center - Mayo Health System Waseca MN 56093 |
Practice Telephone | 5078351210 |
Practice Fax Number | 5078374280 |
Mailing Telephone | 5078351210 |
Mailing Fax Number | 5078374280 |
Enumeration Date | 2005-12-14 |
Last Update Date | 2020-09-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 727534 | MN | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | MEDICA | 63-00264 | 01 |
Street Address |
501 N STATE ST WASECA MEDICAL CENTER - MAYO HEALTH SYSTEM |
City | WASECA |
State | MN |
Zip Code | 56093 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306821129 | Bonnie J. Betts | Psychologist | 501 N State St, Waseca Medical Center - Mayo Health System, Waseca, MN 56093-2811 | 2005-12-14 |
1356792808 | Mayo Clinic Health System | Clinic/Center | 501 N State St, Waseca, MN 56093 | 2016-06-27 |
1235210659 | Daniel R. Stahl | Family Medicine | 501 N State St, Waseca Medical Center - Mayo Health System, Waseca, MN 56093-0000 | 2006-10-19 |
1134141666 | Shari Lynn Simondet | Nurse Practitioner | 501 N State St, Waseca Medical Center - Mayo Health System, Waseca, MN 56093 | 2006-07-24 |
1730130113 | David A Pope | Family Medicine | 501 N State St, Waseca Medical Center - Mayo Health System, Waseca, MN 56093-2811 | 2006-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437789781 | Anita Mae Thompson | Technician | 41306 120th St, Waseca, MN 56093 | 2020-01-24 |
1124572490 | Jordan Wong | Dentist | 1000 Sw University Dr, Waseca, MN 56093 | 2016-08-04 |
1952649451 | Alee Services | In Home Supportive Care | 37437 Highway 13 N., Waseca, MN 56093 | 2013-01-18 |
1437206679 | John Max Gutfleisch | Optometrist | 1111 2nd St Ne, Waseca, MN 56093 | 2007-01-03 |
1275610008 | David Anthony Arnfelt | Chiropractor | 1501 North State St, Waseca, MN 56093 | 2006-11-01 |
1639284847 | Rebecca R Thompson | Dentist | 1504 4th St. Ne, Waseca, MN 56093 | 2006-08-20 |
1144264938 | Timothy Jon Flor | Dentist | 1505 North State Street, Waseca, MN 56093 | 2006-06-15 |
1942277165 | Sandra J. Lauring | Family Medicine | Waseca Medical Center - Mayo Health System, 501 N State St, Waseca, MN 56093 | 2006-03-07 |
1740256668 | Mayo Clinic Health System-southwest Minnesota Region | General Acute Care Hospital | 501 North State Street, Waseca, MN 56093 | 2006-02-28 |
1235517673 | Breanna Weisbrod | Registered Nurse | 501 State St N, Waseca, MN 56093 | 2015-05-18 |
Find all providers in zip 56093 |
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 |
---|---|---|---|---|
1114346350 | Holly Sue Sandhurst | Dietitian, Registered | 1230 State St N, Waseca, MN 56093-2706 | 2014-04-15 |
1962809707 | Jordana Schreiner | Dietitian, Registered | 1230 State St N, Waseca, MN 56093-2706 | 2014-11-21 |
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 |
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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.