Active NPI
Karen Therese Ruhl, RD
- Registered Dietitian
- Brooklyn Park, MN
National Provider Identifier
1174291470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3677
- Practice address
- 8109 Aster Dr
Brooklyn Park, MN 55428-2124 - Phone
- (630) 886-4607
- NPI assigned
- Sep 1, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3677 | MN | Primary |
Addresses
Primary practice location
8109 Aster Dr
Brooklyn Park, MN 55428-2124
Mailing address
8109 Aster Dr
Brooklyn Park, MN 55428-2124
Phone (630) 886-4607
Other names 1
- Karen Therese Eidem
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3677 | MN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1174291470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8109 ASTER DR",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554282124",
"telephone_number": "630-886-4607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8109 ASTER DR",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554282124",
"telephone_number": "630-886-4607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUHL",
"first_name": "KAREN",
"middle_name": "THERESE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "3677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "EIDEM",
"middle_name": "THERESE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.