Active NPI
Emma Sheforgen, RD, LD
- Registered Dietitian
- Saint Cloud, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1200 6TH Ave N
Saint Cloud, MN 56303-2735 - Phone
- (320) 240-2828
- NPI assigned
- Mar 4, 2024
- 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 | MN | Primary |
Addresses
Primary practice location
1200 6TH Ave N
Saint Cloud, MN 56303-2735
Mailing address
8987 Ohland Ave NE
Otsego, MN 55330-7192
Phone (763) 221-4335
Other practice location 1
8987 Ohland Ave NE
Otsego, MN 55330-7192
Phone (763) 221-4335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1200 6TH Ave N
Saint Cloud, MN 56303-2735
1200 6TH N Ave
Saint Cloud, MN 56303-2735
Phone (320) 252-5131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Health System-NR LLC | Current | Accepting new patients | |
| Centracare Clinic Southwest LLC | Current | Accepting new patients | |
| Centracare Health System-NR LLC | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Health System-NR LLC | Current | Accepting new patients | |
| Centracare Clinic Southwest LLC | Current | Accepting new patients |
Locations
1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303
600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
1604 1st St S
Willmar, MN 56201
Phone (320) 231-5039
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- St Cloud, MN
- NPI 1043212665
-
- Multi-Specialty Clinic/Center
- Willmar, MN
- NPI 1174106264
-
- Critical Access Hospital
- Monticello, MN
- NPI 1275872772
-
- Multi-Specialty Clinic/Center
- Monticello, MN
- NPI 1558600874
-
- Occupational Medicine Clinic/Center
- Saint Cloud, MN
- NPI 1366192759
-
- Medical Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1790201739
-
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1912664889
-
- Rehabilitation Hospital Unit
- Monticello, MN
- NPI 1821337148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1184481418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8987 OHLAND AVE NE",
"city": "OTSEGO",
"state": "MN",
"postal_code": "553307192",
"telephone_number": "763-221-4335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 6TH AVE N",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563032735",
"telephone_number": "320-240-2828"
}
],
"practiceLocations": [
{
"address_1": "8987 Ohland Ave NE",
"address_purpose": "LOCATION",
"city": "Otsego",
"state": "MN",
"postal_code": "553307192",
"country_code": "US",
"telephone_number": "763-221-4335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEFORGEN",
"first_name": "EMMA",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-04",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.