Emily L Bakker, R.D.
Individual provider Active NPI Registered Dietitian · Willmar, MN
NPI 1699102152 · NPPES record last updated Jul 26, 2022
Key facts
- NPI
- 1699102152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1058080 (MN)
- Practice address
- 1604 1St St S
Willmar, MN 56201-4243 - Phone
- (320) 231-5000
- Fax
- (320) 231-5067
- NPI assigned
- Sep 30, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centracare Clinic
Practice addresses (Care Compare)
1200 6TH Ave N
St Cloud, MN 56303-2735
Phone (320) 252-5131
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131113001971 | MN | Practitioner - Registered Dietitian Or Nutrition Professional | 6204062656 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1058080 | MN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carris Health - Redwood LLC | Current |
Accepting new patients | |
| Centracare Clinic Southwest LLC | Current |
Accepting new patients | |
| Centracare Clinic | Current |
Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Carris Health LLC | Current |
Accepting new patients | |
| Centracare Clinic Southwest LLC | Current |
Accepting new patients | |
| Avera Marshall | Current |
Accepting new patients | |
| Carris Health - Redwood LLC | Current |
Accepting new patients | |
| Avera Marshall | Current |
Accepting new patients | |
| Redwood Area Hospital | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients |
Locations
300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631
600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222
101 Caring Way
Redwood Falls, MN 56283
Phone (507) 637-2911
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
1604 1st St S
Ste 100
Willmar, MN 56201
Phone (320) 214-6908
101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079
301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120
1604 1st St S
Willmar, MN 56201
Phone (320) 231-5039
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1058080 | MN | Yes |
Addresses
Primary practice location
1604 1St St S
Willmar, MN 56201-4243
Mailing address
1604 1St St S
Willmar, MN 56201-4243
Phone (320) 231-5000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ebakker437008@direct.centracare.com | Direct |
Other providers in Willmar, MN
- Backhaus Eye Service, Inc
- Theresa Lynn Backhaus
- Virginia Kay Backman
- Katie Elizabeth Baker
- Jessica Lee Bakken
- Gabrielle Balmer
- Sharon H. Banister
- Abdiweli Baraki
- Sara Barber
- Stephanie M Barrett
All providers in Willmar, MN · Registered Dietitian in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.