Tracy Kay Bjerke, R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3202 Issued in MN

Practice address

1880 Austin Rd Ste 1
Owatonna, MN 55060-4544

Phone

(507) 774-0699

Fax

(888) 490-2036

NPI assigned

Jun 6, 2013

Last updated

Sep 21, 2023By 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

• Tracy Kay Reith Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hy-Vee Health PCGroup PAC ID 1254701618, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hy-Vee Health PC

  • Internal Medicine Physician
  • Eagan, MN
  • NPI 1730953548
  Medicare reassignment Care Compare group NPD
• Bjerke Nutrition and Wellness, LLC

  • Registered Dietitian
  • Owatonna, MN
  • NPI 1467061291

  Dietitian, Registered

  NPD Authorized official
• Hy-Vee Health PC

  • Registered Dietitian
  • Mankato, MN
  • NPI 1043086986

  Dietitian, Registered

  NPD
• Hy-Vee Health PC

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1184498990
  NPD
• Hy-Vee Health PC

  • Internal Medicine Physician
  • West Des Moines, IA
  • NPI 1558086637
  NPD (past)

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1780022202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 AUSTIN RD STE 1",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604544",
            "telephone_number": "075-774-0699",
            "fax_number": "888-490-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 AUSTIN RD STE 1",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604544",
            "telephone_number": "507-774-0699",
            "fax_number": "888-490-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJERKE",
        "first_name": "TRACY",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "3202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "REITH",
            "middle_name": "KAY",
            "credential": "R.D., L.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tafadzwa Eleck Bhobho, PHARM.D
• Birchwood Cottages
• Kasey J Bishman, LICSW
• Cheryl Bissonette, LMFT
• Bjerke Nutrition and Wellness, LLC
• Karl L Blomquist, MD
• Blossom Health and Wellness LLC
• Jamie Bock
• Bradley A Bohn, MD
• Abass Boke

• Registered Dietitian in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.