Emily Dirkes, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

4194 Issued in MN

Practice address

712 S Cascade St
Fergus Falls, MN 56537-2913

Phone

(218) 736-8059

NPI assigned

Oct 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Emily Busch Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1124661442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 7TH ST E",
            "city": "BROWERVILLE",
            "state": "MN",
            "postal_code": "564385155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 S CASCADE ST",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372913",
            "telephone_number": "218-736-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRKES",
        "first_name": "EMILY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "4194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "BUSCH",
            "credential": "RD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mark William Dewey, PHARM.D., CGP
• Tina Louise Dibley, LPN
• Wendy Rae Digre
• Joseph Paul Dinsmore, M.D.
• Judy Lundberg Dinsmore, MSW
• Jennifer Lee Doll
• Amy Donoho
• Heather Ann Dorow Matheny
• Dr. Zack D.C. LLC
• Terry A Drake, DDS

• Registered Dietitian in Fergus Falls, MN
• Providers in Fergus Falls, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.