Monica M Foster, LRD/CDE
Individual provider Active NPI Registered Dietitian · Park Rapids, MN
NPI 1366499600 · NPPES record last updated Aug 8, 2012
Key facts
- NPI
- 1366499600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1102 (MN)
- Practice address
- 705 Pleasant Ave S
Park Rapids, MN 56470-1440 - Phone
- (218) 732-2800
- Fax
- (218) 732-2874
- NPI assigned
- May 30, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1102 | MN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1102 | MN | Yes |
Addresses
Primary practice location
705 Pleasant Ave S
Park Rapids, MN 56470-1440
Mailing address
PO Box 6001
Fargo, ND 58108-6001
Phone (218) 732-2800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366499600 | Medicaid | MN | |
| 6300064 | Other | MN | MEDICA # |
| HP38648 | Other | MN | HEALTHPARTNERS # |
| 6300065 | Other | MN | MEDICA # |
| 13182 | Medicaid | MN | |
| 13807 | Other | MN | NDBS # |
| 6300068 | Other | MN | MEDICA # |
Other providers in Park Rapids, MN
- Five Star Living of Park Rapids, LLC
- Constance Margaret Ford
- Heather Foresman
- Codruta Iuliana Fosman
- Burton P Fosse Jr.
- Mary Patricia Frenzel
- Caleb T Fritel
- Katherine L Fritsch
- Fulfilled Family Chiropractic PLLC
- Dwight E Fultz
All providers in Park Rapids, 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 Aug 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.