Active NPI
Julie Dzik Anderson, RD
- Registered Dietitian
- Chaska, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 14455
- Practice address
- 111 Hundertmark Rd
Chaska, MN 55318-4551 - Phone
- (952) 777-5778
- NPI assigned
- Apr 6, 2022
- Last updated
- Apr 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 14455 | MN | Primary |
Addresses
Primary practice location
111 Hundertmark Rd
Chaska, MN 55318-4551
Mailing address
14345 Guthrie Ave
Apple Valley, MN 55124-6757
Phone (612) 437-1405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2580 | MN | MD | Marriage & Family Therapist |
| 14455 | MN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgeview Medical Center | Current | Accepting new patients | |
| Ridgeview Medical Center | Current | Accepting new patients |
Locations
7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570
111 Hundertmark Rd
Chaska, MN 55318
Phone (952) 361-2447
111 Hundertmark Rd
Ste 115N
Chaska, MN 55318
Phone (952) 361-2450
500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191
560 S Maple St
Ste 400
Waconia, MN 55387
Phone (952) 442-3188
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.
-
dba Ridgeview Medical Center CRNAs
- Certified Registered Nurse Anesthetist
- Waconia, MN
- NPI 1528364429
-
- Diagnostic Radiology Physician
- Waconia, MN
- NPI 1811174923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1619618055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14345 GUTHRIE AVE",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551246757",
"telephone_number": "612-437-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 HUNDERTMARK RD",
"city": "CHASKA",
"state": "MN",
"postal_code": "553184551",
"telephone_number": "952-777-5778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JULIE",
"middle_name": "DZIK",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-06",
"last_updated": "2022-04-06",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "14455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chaska, MN
- Allina Health System (Allina Health Chaska Clinic)
- Ambulatory Anesthesia Services, PLLC
- American Current Care of Minnesota PC (Concentra Urgent Care)
- Jaclyn Amys, MS, LPCC
- Jesica Marie Anderson
- Melea Rae Anderson, PNP
- Suzanne R. Anderson, OD
- Andrew J Will MD PA (Twin Cities Pain Clinic)
- Jewell Renee Arcoren, MA
- Jennifer Arland, MA, LADC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.