Active NPI
Maggie L Vertalino, R.D., L.D., MPH
- Registered Dietitian
- Minneapolis, MN
National Provider Identifier
1730120130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2393
- Practice address
- 410 Church St SE
Minneapolis, MN 55455-0222 - Phone
- (612) 625-8400
- Fax
- (612) 677-3321
- NPI assigned
- Jun 9, 2006
- 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 | 2393 | MN | Primary |
Addresses
Primary practice location
410 Church St SE
Minneapolis, MN 55455-0222
Mailing address
410 Church St SE
Minneapolis, MN 55455-0222
Phone (612) 625-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2393 | MN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Past | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Family Support Services Inc. | Past | Accepting new patients | |
| Regents of the University of Minnesota | Past | Accepting new patients | |
| Regents of the University of Minnesota | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1730120130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 CHURCH ST SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550222",
"telephone_number": "612-625-8400",
"fax_number": "612-677-3321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 CHURCH ST SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550222",
"telephone_number": "612-625-8400",
"fax_number": "612-677-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERTALINO",
"first_name": "MAGGIE",
"middle_name": "L",
"credential": "R.D., L.D., MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "2393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.