Individual provider Active NPI

Alyssa Kate Thooft, R.D.

  • Registered Dietitian
  • Morris, MN
National Provider Identifier
1366859456
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3402 Issued in MN
Practice address
400 E 1St St
Morris, MN 56267-1408
Phone
(320) 589-1313
NPI assigned
Jul 21, 2014
Last updated
Sep 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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 3402 MN Primary

Addresses

Primary practice location

400 E 1St St
Morris, MN 56267-1408

Mailing address

400 E 1St St
Morris, MN 56267-1408
Phone (320) 589-1313

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140915000275 MN Practitioner - Registered Dietitian Or Nutrition Professional 2860611472 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network North CurrentSince Mar 21, 2018 Accepting new patients
Sanford Health Network North Current Accepting new patients
Stevens Community Medical Center Inc. Current Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747

401 12th St N
Wheaton, MN 56296
Phone (320) 563-8226

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1366859456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 1ST ST",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671408",
            "telephone_number": "320-589-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 1ST ST",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671408",
            "telephone_number": "320-589-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOOFT",
        "first_name": "ALYSSA",
        "middle_name": "KATE",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "3402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.