Maryann Ruth Loftus, CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

R0603012 Issued in MN

Practice address

600 W 98TH St
Suite 20
Bloomington, MN 55420-4773

Phone

(952) 885-6150

NPI assigned

Jan 23, 2007

Last updated

Mar 19, 2010By 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

Other names 1

• Maryann Ruth Edman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1770638710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 EAU CLAIRE TRL NE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 98TH ST",
            "address_2": "SUITE 20",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204773",
            "telephone_number": "952-885-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTUS",
        "first_name": "MARYANN",
        "middle_name": "RUTH",
        "credential": "CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MN",
            "license": "R0603012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYANN",
            "last_name": "EDMAN",
            "middle_name": "RUTH",
            "credential": "CDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hunter Toukeng Lo
• Kimberly Ann Locke, L.I.C.S.W.
• Jennifer Elise Lodahl, PHARMD
• Jessica Loehr, OPTOMETRIST
• Michelle Lofquist
• Jasemine Lafaye Logan
• Isabel Joy Loges
• Mariah Loiselle
• Faith R Lopez, PT
• Meredith Jean Lorig, PA-C

• Diabetes Educator Registered Nurse in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Diabetes Educator Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.