Active NPI
Michelle R. Didio, RD
- Nutrition Education Nutritionist
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 3503
- Practice address
- 2945 Hazelwood St
Maplewood, MN 55109-1241 - Phone
- (651) 232-7800
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 892296 | MI | |
| Nutrition Education Nutritionist | 133NN1002X | 3503 | MN | Primary |
Addresses
Primary practice location
2945 Hazelwood St
Maplewood, MN 55109-1241
Mailing address
18002 Judicial Way N
Lakeville, MN 55044-9381
Phone (248) 802-6028
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mrdidio@healtheast.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200428001674 | MN | Practitioner - Registered Dietitian Or Nutrition Professional | 1759343098 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Fairview Clinics
Practice addresses (Care Compare)
600 W 98TH St
Bloomington, MN 55420-4773
Phone (952) 885-6150
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.35 of 100
- Quality
- 91.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 892296 | MI | MD | Nutrition Education Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Specialty Services | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Michigan Institute for Health Enhancement, LLC | Past | Accepting new patients | |
| Healtheast Medical Research Institute | Past | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients | |
| Michigan Institute for Health Enhancement | Nutrition, Education | Past | Accepting new patients |
| Fairview Clinics | Past | Accepting new patients |
Locations
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
2945 Hazelwood St
Maplewood, MN 55109
Phone (651) 232-7800
400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
600 W 98th St
Minneapolis, MN 55420
Phone (952) 881-2651
3305 Central Park Village Dr
#200
Saint Paul, MN 55121
3305 Central Park Village Dr
Ste 200
Saint Paul, MN 55121
Phone (651) 406-8860
2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1154497634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18002 JUDICIAL WAY N",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550449381",
"telephone_number": "248-802-6028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2945 HAZELWOOD ST",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091241",
"telephone_number": "651-232-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIDIO",
"first_name": "MICHELLE",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "MI",
"license": "892296",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "MN",
"license": "3503",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "mrdidio@healtheast.org",
"affiliation": "N",
"endpointDescription": "work email",
"address_1": "2945 Hazelwood St",
"city": "Maplewood",
"state": "MN",
"country_code": "US",
"postal_code": "551091241",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.