Amber Boyens, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1040687 Issued in MN

Practice address

515 Western Ave
Madison, MN 56256-1620

Phone

(651) 336-3481

NPI assigned

May 6, 2015

Last updated

Sep 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amber Rae Standish Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lac Qui Parle Clinic of Madison IncGroup PAC ID 5799727707, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lac Qui Parle Clinic of Madison Inc

  • Rural Health Clinic/Center
  • Madison, MN
  • NPI 1144266156
  Medicare reassignment Care Compare group NPD
• Madison Healthcare Services

  • Critical Access Hospital
  • Madison, MN
  • NPI 1942246848
  Medicare reassignment NPD

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1447637889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 WESTERN AVE",
            "city": "MADISON",
            "state": "MN",
            "postal_code": "562561620",
            "telephone_number": "651-336-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WESTERN AVE",
            "city": "MADISON",
            "state": "MN",
            "postal_code": "562561620",
            "telephone_number": "651-336-3481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5739 Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554191715",
            "country_code": "US",
            "telephone_number": "651-336-3481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYENS",
        "first_name": "AMBER",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "1040687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "STANDISH",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clinton Allen Bonn, DC
• Angela Louisia Elsner Brown, MT
• Kristi Carlson, PHARMD.
• Matthew Carmody, PT, DPT
• Centracare Medical Supply LLC (Rice Home Medical LLC - DME Madison)
• City of Madison (Madison Ambulance)

• Registered Dietitian in Madison, MN
• Providers in Madison, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.