Individual provider Active NPI

Jerri L Haindfield, RD

  • Registered Dietitian
  • Arden Hills, MN
National Provider Identifier
1043305642
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2245 Issued in MN
Practice address
3930 Northwoods Dr
Arden Hills, MN 55112-6963
Phone
(651) 523-8500
NPI assigned
Oct 3, 2006
Last updated
Apr 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2245 MN Primary

Addresses

Primary practice location

3930 Northwoods Dr
Arden Hills, MN 55112-6963

Mailing address

1737 Nevada Avenue East
St. Paul, MN 55106
Phone (651) 793-4090

Other practice location 1

3930 Northwoods Dr
Arden Hills, MN 55112-6963
Phone (651) 523-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070227000425 MN Practitioner - Registered Dietitian Or Nutrition Professional 8628170313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians

Practice addresses (Care Compare)

3930 Northwood Dr
Arden Hills, MN 55112-6963
Phone (651) 490-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2245MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Apr 2, 2018 Accepting new patients
Healtheast Medical Research Institute CurrentSince Jan 1, 2007 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Group Health, Inc. Current Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2007 Accepting new patients
Group Health, Inc. CurrentSince Apr 2, 2018 Accepting new patients
North Memorial Health Care Past Accepting new patients
North Memorial Health Care Past Accepting new patients

Locations

6936 Pine Arbor Dr S
Ste 100
Cottage Grove, MN 55016
Phone (651) 326-5800

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

1099 Helmo Ave N
Ste 100
Saint Paul, MN 55128
Phone (651) 326-5300

1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

17 Exchange St W
Ste 200
Saint Paul, MN 55102
Phone (651) 227-8275

17 Exchange St W
Ste 835
Saint Paul, MN 55102
Phone (651) 232-4200

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

1983 Sloan Pl
Ste 1
Saint Paul, MN 55117
Phone (651) 326-5700

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

3930 Northwoods Dr
Saint Paul, MN 55112
Phone (651) 490-6775

797 7th St E
Saint Paul, MN 55106
Phone (651) 326-4900

870 Grand Ave
Saint Paul, MN 55105
Phone (651) 326-5650

980 Rice St
Saint Paul, MN 55117
Phone (651) 326-9020

480 Highway 96 E
Vadnais Heights, MN 55127
Phone (651) 326-5900

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1043305642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 NEVADA AVENUE EAST",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55106",
            "telephone_number": "651-793-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 NORTHWOODS DR",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551126963",
            "telephone_number": "651-523-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3930 Northwoods Dr",
            "address_purpose": "LOCATION",
            "city": "Arden Hills",
            "state": "MN",
            "postal_code": "551126963",
            "country_code": "US",
            "telephone_number": "651-523-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAINDFIELD",
        "first_name": "JERRI",
        "middle_name": "L",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "2245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arden Hills, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.