Individual provider Active NPI

Tara Zauhar, MS, RDN, LD, CSSD

  • Registered Dietitian
  • Bloomington, MN
National Provider Identifier
1255787271
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3692 Issued in MN
Practice address
8120 Penn Ave S Ste 252
Bloomington, MN 55431-1365
Phone
(320) 808-5353
NPI assigned
May 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3692 MN Primary

Addresses

Primary practice location

8120 Penn Ave S Ste 252
Bloomington, MN 55431-1365

Mailing address

12735 42ND PL N
Minneapolis, MN 55442-2350
Phone (320) 808-5353

Other practice location 1

1130 Burch Ln
University City, MO 63130-2219
Phone (320) 808-5353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622000802 MN Practitioner - Registered Dietitian Or Nutrition Professional 8820389893 Practice locations: Bloomington, MN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3692MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Tara the Rd Dietitian, Registered CurrentSince Jan 14, 2024 Accepting new patients
CHJL LLC CurrentSince Aug 27, 2023 Accepting new patients

Locations

8120 Penn Ave S
Ste 252
Minneapolis, MN 55431
Phone (320) 808-5353

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1255787271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12735 42ND PL N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554422350",
            "telephone_number": "320-808-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 PENN AVE S STE 252",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311365",
            "telephone_number": "320-808-5353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Burch Ln",
            "address_purpose": "LOCATION",
            "city": "University City",
            "state": "MO",
            "postal_code": "631302219",
            "country_code": "US",
            "telephone_number": "320-808-5353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAUHAR",
        "first_name": "TARA",
        "credential": "MS, RDN, LD, CSSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "3692",
            "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 Aug 18, 2023; 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.