Active NPI
Rachel Pamela Fox Jacobsen, MPH RDN LD
- Registered Dietitian
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3827
- Practice address
- 2450 Riverside Ave
Minneapolis, MN 55454-1450 - Phone
- (612) 273-3207
- NPI assigned
- Oct 4, 2018
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3827 | MN | Primary |
Addresses
Primary practice location
2450 Riverside Ave
Minneapolis, MN 55454-1450
Mailing address
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 273-3207
Other names 1
- Rachel Pamela Fox
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Single Specialty | Current | Accepting new patients |
| Fairview Express Care | Single Specialty | Current | Accepting new patients |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Dietitian, Registered | Past | Accepting new patients |
Locations
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
9680 Tamarack Rd
Ste 130
Woodbury, MN 55125
Phone (612) 273-1172
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 and National Provider Directory roles.
-
- Clinic/Center
- Minneapolis, MN
- NPI 1588543862
-
- Specialist
- Saint Paul, MN
- NPI 1679048763
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1386119451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 RIVERSIDE AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541450",
"telephone_number": "612-273-3207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 RIVERSIDE AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541450",
"telephone_number": "612-273-3207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSEN",
"first_name": "RACHEL",
"middle_name": "PAMELA FOX",
"credential": "MPH RDN LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-04",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "3827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "FOX",
"middle_name": "PAMELA",
"credential": "MPH RDN CSP LD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.