Jennifer Susan Hall, RD, LD

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

0515 Issued in MN

Practice address

Fond Du Lac Human Services Division
927 Trettle Lane
Cloquet, MN 55720

Phone

(218) 879-1227

Fax

(218) 878-2188

NPI assigned

Oct 31, 2006

Last updated

Apr 6, 2017By 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

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Group practices

Fond Du Lac Reservation Business CommitteeGroup PAC ID 6608775879, 40 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.26 of 100Reported as group

Quality

80.41

Promoting interoperability

80

Improvement activities

40

Cost

53.23

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.hall.p1@direct.fonddulachsd.nextgenshare.com

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.

• Fond Du Lac Reservation Business Committee

  dba Fond du Lac Human Services Division

  • Clinic/Center
  • Cloquet, MN
  • NPI 1326053166
  Medicare reassignment Care Compare group NPD
• Fond Du Lac Reservation Business Committee

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cloquet, MN
  • NPI 1053772087
  NPD

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1700962768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 TRETTEL LN",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201345",
            "telephone_number": "218-879-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FOND DU LAC HUMAN SERVICES DIVISION",
            "address_2": "927 TRETTLE LANE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "55720",
            "telephone_number": "218-879-1227",
            "fax_number": "218-878-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JENNIFER",
        "middle_name": "SUSAN",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MN",
            "license": "0515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malique D Goulet
• Graceful Strides Wellness Center LLC
• Dayna Marie Grimm, CHW
• John Anthony Gust, RPH
• Stacey Lynn Gutman, M.D.
• Farrah Halvorson
• Alan Daniel Haney, MSW, LICSW
• Bobbijo Ellen Hanson, RN
• Jessica Lynn Hanson
• Angela Mary Hartwig, LICSW

• Metabolic Nutrition Registered Dietitian in Cloquet, MN
• Providers in Cloquet, MN by specialty
• Metabolic Nutrition Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.