Active NPI
Rachel Tetlie Boyer
- Registered Dietitian
- Eden Prairie, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4655
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240530002368 | MN | Practitioner - Registered Dietitian Or Nutrition Professional | 5092157453 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4655 | MN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hy-Vee Health PC | Current | Accepting new patients | |
| Hy-Vee Health PC | Current | Accepting new patients | |
| Hy-Vee Health PC | Dietitian, Registered | Current | 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.
-
- Internal Medicine Physician
- Eagan, MN
- NPI 1730953548
-
- Internal Medicine Physician
- Omaha, NE
- NPI 1184498990
-
- Internal Medicine Physician
- West Des Moines, IA
- NPI 1558086637
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.