Active NPI
Twyla J Asp, CDE
- Endocrinology, Diabetes & Metabolism Physician
- Thief River Falls, MN
National Provider Identifier
1356377386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- R 147001-1
- Practice address
- 1720 Highway 59 S
Thief River Falls, MN 56701-4331 - Phone
- (218) 681-4747
- Fax
- (218) 683-2595
- NPI assigned
- Jun 23, 2006
- Last updated
- Dec 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | R147001-1 | MN | |
| Registered Dietitian | 133V00000X | R147001-1 | MN | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | R 147001-1 | MN | Primary |
Addresses
Primary practice location
1720 Highway 59 S
Thief River Falls, MN 56701-4331
Mailing address
1720 Highway 59 S
Thief River Falls, MN 56701-4331
Phone (218) 681-4747
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25823 | Other | MN | NDBS # |
| DA90201015504 | Other | MN | PREFERRED ONE # |
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 |
|---|---|---|---|
| R147001-1 | MN | MD | Nutrition Education Nutritionist |
| R 147001-1 | MN | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199059200000",
"number": "1356377386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 HIGHWAY 59 S",
"city": "THIEF RIVER FALLS",
"state": "MN",
"postal_code": "567014331",
"telephone_number": "218-681-4747",
"fax_number": "218-683-2595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 HIGHWAY 59 S",
"city": "THIEF RIVER FALLS",
"state": "MN",
"postal_code": "567014331",
"telephone_number": "218-681-4747",
"fax_number": "218-683-2595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASP",
"first_name": "TWYLA",
"middle_name": "J",
"credential": "CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2007-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "MN",
"license": "R147001-1",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "R147001-1",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MN",
"license": "R 147001-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NDBS #",
"identifier": "25823",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE #",
"identifier": "DA90201015504",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thief River Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.