Individual provider Active NPI

Michelle R. Didio, RD

  • Nutrition Education Nutritionist
  • Maplewood, MN
National Provider Identifier
1154497634
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
3503 Issued in MN
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

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL mrdidio@healtheast.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 799 clinicians

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 100Reported as group
Quality
91.74
Promoting interoperability
100
Improvement activities
40
Cost
77.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
892296MIMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics Current Accepting new patients
Fairview Express Care CurrentSince Mar 1, 2023 Accepting new patients
Healtheast Medical Research Institute CurrentSince Mar 23, 2020 Accepting new patients
Fairview Specialty Services CurrentSince Mar 1, 2023 Accepting new patients
Fairview Clinics CurrentSince Mar 1, 2023 Accepting new patients
Fairview Clinics CurrentSince Mar 1, 2023 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Mar 23, 2020 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.

View all 15

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.

Verify at the official NPI Registry.