Active NPI
Carol Diane Schneider, MS,RD,LD,CDE
- Registered Dietitian
- Bloomington, MN
National Provider Identifier
1164577110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 702975
- Practice address
- 600 W 98TH St
Bloomington, MN 55420-4773 - Phone
- (952) 885-6150
- NPI assigned
- Jan 23, 2007
- 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 | 702975 | MN | Primary |
Addresses
Primary practice location
600 W 98TH St
Bloomington, MN 55420-4773
Mailing address
614 Pleasant St
Excelsior, MN 55331-3036
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 702975 | MN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268784000000",
"number": "1164577110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 PLEASANT ST",
"city": "EXCELSIOR",
"state": "MN",
"postal_code": "553313036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W 98TH ST",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554204773",
"telephone_number": "952-885-6150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "CAROL",
"middle_name": "DIANE",
"credential": "MS,RD,LD,CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2010-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "702975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.