Active NPI
Mary Christine Aukes, RD
- Nutrition Support Pharmacist
- Worthington, MN
National Provider Identifier
1386078046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Support Pharmacist
- License
- 42-0325638
- Practice address
- 1235 Oxford St
Worthington, MN 56187-1759 - Phone
- (507) 372-7354
- Fax
- (507) 376-5169
- NPI assigned
- Aug 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Support Pharmacist | 1835N1003X | 42-0325638 | MN | Primary |
Addresses
Primary practice location
1235 Oxford St
Worthington, MN 56187-1759
Mailing address
1235 Oxford St
Worthington, MN 56187-1759
Phone (507) 372-7354
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 |
|---|---|---|---|
| 42-0325638 | MN | MD | Nutrition Support Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377734400000",
"number": "1386078046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 OXFORD ST",
"city": "WORTHINGTON",
"state": "MN",
"postal_code": "561871759",
"telephone_number": "507-372-7354",
"fax_number": "507-376-5169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 OXFORD ST",
"city": "WORTHINGTON",
"state": "MN",
"postal_code": "561871759",
"telephone_number": "507-372-7354",
"fax_number": "507-376-5169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUKES",
"first_name": "MARY",
"middle_name": "CHRISTINE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-29",
"last_updated": "2013-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "MN",
"license": "42-0325638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worthington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.