Active NPI
Therese Christine Molzahn, RD
- Registered Dietitian
- Minneapolis, MN
National Provider Identifier
1154829661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3881
- Practice address
- 4616 33Rd Ave S
Minneapolis, MN 55406-3829 - Phone
- (952) 393-4253
- NPI assigned
- Jan 30, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT89449 | TX | |
| Registered Dietitian | 133V00000X | 3881 | MN | Primary |
Addresses
Primary practice location
4616 33Rd Ave S
Minneapolis, MN 55406-3829
Mailing address
4616 33Rd Ave S
Minneapolis, MN 55406-3829
Phone (952) 393-4253
Other names 1
- Therese Bredemus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT89449 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Healthcare for Women, PA | Current | Accepting new patients |
Locations
2603 White Bear Ave N
Saint Paul, MN 55109
Phone (651) 209-8125
1687 Woodlane Dr
Ste 101
Woodbury, MN 55125
Phone (651) 209-6263
Interoperability endpoints
- therese.molzahn.1@25307.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Woodbury, MN
- NPI 1841235595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1154829661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4616 33RD AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554063829",
"telephone_number": "952-393-4253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4616 33RD AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554063829",
"telephone_number": "952-393-4253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLZAHN",
"first_name": "THERESE",
"middle_name": "CHRISTINE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-30",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT89449",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "3881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THERESE",
"last_name": "BREDEMUS",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.