Gwenda Lyn Hill, MS, RDN, LD
Individual provider Active NPI Registered Dietitian · Plymouth, MN
NPI 1235501412 · NPPES record last updated Jan 26, 2016
Key facts
- NPI
- 1235501412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2963 (MN)
- Practice address
- 15655 37TH Ave N
Suite 100
Plymouth, MN 55446 - Phone
- (763) 587-7900
- Fax
- (763) 587-7701
- NPI assigned
- Oct 27, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160112002309 | MN | Practitioner - Registered Dietitian Or Nutrition Professional | 5890097554 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1034183 | MN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
7373 France Ave S
Ste 202
Minneapolis, MN 55435
Phone (952) 835-1311
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
407 W 66th St
Richfield, MN 55423
Phone (612) 798-8800
8675 Valley Creek Rd
Woodbury, MN 55125
Phone (651) 241-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2963 | MN | Yes |
| Registered Dietitian | 133V00000X | 1034183 | MN |
Addresses
Primary practice location
15655 37TH Ave N
Suite 100
Plymouth, MN 55446
Mailing address
9201 West Broadway Ave
Suite 601
Brooklyn Park, MN 55445
Phone (763) 587-7900
Other providers in Plymouth, MN
- Paige Hetmann
- Erin Janice Hettinger
- Margaret Mary Heuer
- Jennifer Lynn Hibbard-Kaidi
- Kira Leigh Hilden
- Louise Hillen
- Christi Jo Hillman
- Molly Isabel Hiniker
- Hira Care LLC
- Marissa Hirsch
All providers in Plymouth, MN · Registered Dietitian in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.