Courtney Lee Tate, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86118704 Issued in MN

Practice address

5354 Parkdale Dr
Minneapolis, MN 55416-1603

Phone

(888) 364-5977

NPI assigned

Feb 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Emily Program P C

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Paul, MN
  • NPI 1528165065
  Medicare reassignment NPD
• Emily Program PC

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1154696698
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1164014122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 PARKDALE DR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161603",
            "telephone_number": "888-364-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 PARKDALE DR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161603",
            "telephone_number": "888-364-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "COURTNEY",
        "middle_name": "LEE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "86118704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasks Unlimited Mental Health Services
• Tasks Unlimited Mental Health Services
• Tasks Unlimited Mental Health Services
• Cynthia Marie Tastad, OTR
• Aleksa Tataryn, DDS
• Kelly Ann Tate, LICSW
• Sarah Jane Tate
• Tabitha Marie Tate
• Janet Louise Taterka, MS L.AC
• Sushma Tatineni, MD

• Registered Dietitian in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.