Individual provider Active NPI

Rachel Tetlie Boyer

  • Registered Dietitian
  • Eden Prairie, MN
National Provider Identifier
1154198802
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4655 Issued in MN
Practice address
16221 Westgate TRL
Eden Prairie, MN 55344-1851
Phone
(651) 402-3882
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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 4655 MN Primary

Addresses

Primary practice location

16221 Westgate TRL
Eden Prairie, MN 55344-1851

Mailing address

16221 Westgate TRL
Eden Prairie, MN 55344-1851
Phone (651) 402-3882

Other names 1

  • Rachel Rice Tetlie Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530002368 MN Practitioner - Registered Dietitian Or Nutrition Professional 5092157453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4655MNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hy-Vee Health PC CurrentSince Apr 7, 2024 Accepting new patients
Hy-Vee Health PC Current Accepting new patients
Hy-Vee Health PC Dietitian, Registered CurrentSince Apr 7, 2024 Accepting new patients
Hy-Vee Health PC Past Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

5820 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 453-2784

1500 Central Park Commons Dr
Eagan, MN 55121
Phone (651) 405-3662

16150 Pilot Knob Rd
Lakeville, MN 55044
Phone (952) 423-9340

8200 42nd Ave N
New Hope, MN 55427
Phone (763) 531-7460

Organizations & group practices 5

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": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1154198802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16221 WESTGATE TRL",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441851",
            "telephone_number": "651-402-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16221 WESTGATE TRL",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441851",
            "telephone_number": "651-402-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "RACHEL",
        "middle_name": "TETLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "4655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "TETLIE",
            "middle_name": "RICE",
            "credential": "MS, RDN, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.