Individual provider Active NPI

Patricia Stensgard, R.D., L.D.

  • Registered Dietitian
  • Saint Paul, MN
National Provider Identifier
1295053841
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2404 Issued in MN
Practice address
2265 Como Ave
Saint Paul, MN 55108-1737
Phone
(651) 645-5323
Fax
(651) 647-5135
NPI assigned
May 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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 2404 MN Primary

Addresses

Primary practice location

2265 Como Ave
Saint Paul, MN 55108-1737

Mailing address

7762 Ranchview LN N
Maple Grove, MN 55311-2100
Phone (763) 494-3861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160413000495 MN Practitioner - Registered Dietitian Or Nutrition Professional 4587962253 Reassigns benefits to 1 organization
I20230314000750 OH Practitioner - Registered Dietitian Or Nutrition Professional 4587962253 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10054OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Program P C CurrentSince Mar 13, 2016 Accepting new patients
Emily Program PC Past Accepting new patients

Locations

2265 Como Ave
Saint Paul, MN 55108

2265 Como Ave
#310
Saint Paul, MN 55108

5354 Parkdale Dr
Fl 2
St Louis Park, MN 55416
Phone 6516455323 ext. 1480

8001 Ravines Edge Ct
Ste 201
Columbus, OH 43235
Phone (614) 896-8222

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": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1295053841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7762 RANCHVIEW LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112100",
            "telephone_number": "763-494-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081737",
            "telephone_number": "651-645-5323",
            "fax_number": "651-647-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENSGARD",
        "first_name": "PATRICIA",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "2404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.