Salem Dietetics, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SALEM DIETETICS, LLC

Doing business as

Salem Dietetics

Practice address

9325 Upland LN N Ste 320
Maple Grove, MN 55369-4451

Phone

(917) 330-8441

NPI assigned

Jul 26, 2018

Organization subpart

No

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

Authorized official

Name

Doha Salem, MS, RD, CDE

Title

Ceo

Phone

(917) 330-8441

Specialties & licenses 1

Addresses

Other names 1

• Salem Dietetics Doing business as

Locations

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1487131991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 UPLAND LN N STE 320",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 UPLAND LN N STE 320",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694451",
            "telephone_number": "917-330-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM DIETETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "DOHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-330-8441",
        "authorized_official_credential": "MS, RD, CDE"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Dietetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kassandra Ryan, RN
• Bethany Ann Sabol, MD
• Jessie Ann Egley Saer, LICSW
• Tamim Ahmed Saidi, PHARM.D.
• Megan M Saiko, LMT
• Cheryl Anne Salim, OTR/L
• Sally R Brinza PHD LP LLC
• Susan K H Salzl, MA, LMFT
• Sam'S Club Optical
• Blandine S Sama, DNP,APRN,PMHNP-BC

• Health Service Clinic/Center in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Health Service Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.