NPIMap

Individual provider Active NPI

Janelle Marie Bober, RDN

  • Registered Dietitian
  • Edina, MN
National Provider Identifier
1447001896
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86326127 Issued in CO
Practice address
3250 W 66TH St Apt 548
Edina, MN 55435-5514
Phone
(651) 447-6737
NPI assigned
Apr 1, 2024
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 86326127 CO Primary

Addresses

Primary practice location

3250 W 66TH St Apt 548
Edina, MN 55435-5514

Mailing address

4900 Boardwalk Dr Apt M204
Fort Collins, CO 80525-6290
Phone (303) 945-9161

Other practice location 1

609 E Main St
Purcellville, VA 20132-4500
Phone (651) 447-6737

Other practice location 2

4900 Boardwalk Dr Apt M204
Fort Collins, CO 80525-6290
Phone (303) 945-9161

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

LicenseStateTypeSpecialty
86326127COMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Management LLC Dietitian, Registered Past Accepting new patients
No Diet Dietitian, LLC Dietitian, Registered Past Accepting new patients

Organizations & group practices 2

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": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1447001896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 BOARDWALK DR APT M204",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805256290",
            "telephone_number": "303-945-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W 66TH ST APT 548",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355514",
            "telephone_number": "651-447-6737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 E Main St",
            "address_purpose": "LOCATION",
            "city": "Purcellville",
            "state": "VA",
            "postal_code": "201324500",
            "country_code": "US",
            "telephone_number": "651-447-6737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 Boardwalk Dr Apt M204",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805256290",
            "country_code": "US",
            "telephone_number": "303-945-9161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBER",
        "first_name": "JANELLE",
        "middle_name": "MARIE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "86326127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.