Toni Swanson
Individual provider Active NPI Registered Dietitian · Zimmerman, MN
NPI 1417697228 · NPPES record last updated Apr 4, 2022
Key facts
- NPI
- 1417697228
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 3678 (MN)
- Practice address
- 26717 Rabbit TRL
Zimmerman, MN 55398-4080 - Phone
- (320) 808-8692
- NPI assigned
- Mar 30, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3678 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3678 | MN | Yes |
Addresses
Primary practice location
26717 Rabbit TRL
Zimmerman, MN 55398-4080
Mailing address
26717 Rabbit TRL
Zimmerman, MN 55398-4080
Other providers in Zimmerman, MN
- Steven James Scott
- Select Homecare Srvices, Inc.
- Select Transportation
- Mikayla Ellen Siemsen
- Shannon Leslie Snyder
- Shannon Tabaka
- Kathryn Thompson
- Lucas John Valerius
- Margery Ann Vetsch-Peterson
- Danelle Marie Waite
All providers in Zimmerman, 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 Apr 4, 2022. 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.