Bettejane Kremen Goldman, M.S., R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

23317 Issued in MN

Practice address

4330 Cedar Lake Rd S
St Louis Park, MN 55416-3700

Phone

(952) 381-3434

Fax

(952) 377-1430

NPI assigned

Oct 30, 2008

Last updated

Oct 30, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Minnesota Medical and Rehabilitative Services, LLC

  dba Minnesota Medical and Rehabilitation

  • Physical Therapist
  • St Louis Park, MN
  • NPI 1154302545
  Medicare reassignment NPD
• Life Medical, P.a.

  dba Life Medical

  • Multi-Specialty Clinic/Center
  • St Louis Park, MN
  • NPI 1740222496
  Medicare reassignment
• Primary Care & Rehabilitation Clinics, Inc.

  • Multi-Specialty Clinic/Center
  • St Louis Park, MN
  • NPI 1306842547
  NPD (past)

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1528211836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 NATCHEZ AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163946",
            "telephone_number": "952-922-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 CEDAR LAKE RD S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163700",
            "telephone_number": "952-381-3434",
            "fax_number": "952-377-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "BETTEJANE",
        "middle_name": "KREMEN",
        "credential": "M.S., R.D., L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "23317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITION",
            "identifier": "535932",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF DIETETICS AND NUTRITION LICENSE",
            "identifier": "23317",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marjorie Bess Granot Gold, M.D.
• Golden Bright Homes LLC
• Golden Generation Senior Care Inc.
• Cheryl Goldenberg, PSYD, LP
• Goldfinch Counseling Center, LLC (Goldfinch Counseling)
• Susanna Goldstein
• Ross Golla, PA
• Lauren Gonyea
• Maria Teresa Gonzalez Bolanos, M.D.
• Annmarie Gonzalez, OTR

• Registered Dietitian in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.

Verify at the official NPI Registry.