Danielle R Matthies, RD, CD, LD | |
1500 Central Park Commons Dr, Eagan, MN 55121-8702 | |
(515) 695-3018 | |
Not Available |
Full Name | Danielle R Matthies |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1500 Central Park Commons Dr, Eagan, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1922760933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 4541 (Minnesota) | Primary |
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
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Danielle R Matthies, RD, CD, LD 2370 Lexington Ave S Apt 316, Mendota Heights, MN 55120-1245 Ph: (920) 585-3427 | Danielle R Matthies, RD, CD, LD 1500 Central Park Commons Dr, Eagan, MN 55121-8702 Ph: (515) 695-3018 |
Julie Rose Kronabetter, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4779 Beacon Hill Rd, Eagan, MN 55122 Phone: 651-405-1806 | |
Lindsay Anne Thomas, RD, LD, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121 Phone: 612-262-4317 Fax: 612-262-4317 | |
Anna Heronimus, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 Central Park Commons Dr, Eagan, MN 55121 Phone: 361-405-3664 | |
Rachel Rice Tetlie, Dietitian Medicare: Medicare Enrolled Practice Location: 1500 Central Park Commons Dr, Eagan, MN 55121 Phone: 515-267-3787 | |
Austin Voltin, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2645 Vikings Cir Ste 200, Eagan, MN 55121 Phone: 952-456-7650 | |
Katie Marie Stoterau, RD, LD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121 Phone: 651-454-3970 Fax: 651-905-5087 | |
Viverant, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3365 Central Park Village Dr Ste 100, Eagan, MN 55121 Phone: 952-835-4512 Fax: 952-835-4512 |