Individual provider Active NPI

Callie Rodriguez, RD, LRD

  • Registered Dietitian
  • Marshall, MN
National Provider Identifier
1821684911
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4389 Issued in MN
Practice address
1223 Englewood Rd
Marshall, MN 56258-2180
Phone
(507) 829-3471
NPI assigned
Dec 14, 2020
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT89031 TX
Registered Dietitian 133V00000X 1266 ND
Registered Dietitian 133V00000X D-10224515 OR
Registered Dietitian 133V00000X 4389 MN Primary

Addresses

Primary practice location

1223 Englewood Rd
Marshall, MN 56258-2180

Mailing address

1291 SE 21St Ave
Hillsboro, OR 97123-5010
Phone (507) 829-3471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250416001910 WI Practitioner - Registered Dietitian Or Nutrition Professional 4587078365
I20250516000570 MA Practitioner - Registered Dietitian Or Nutrition Professional 4587078365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D-10224515ORMDRegistered Dietitian
1266NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Health and Nutrition LLC Dietitian, Registered CurrentSince Nov 12, 2023 Accepting new patients
National Cardiovascular Associates, LLC PastSince Feb 14, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1821684911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 SE 21ST AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971235010",
            "telephone_number": "507-829-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 ENGLEWOOD RD",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582180",
            "telephone_number": "507-829-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CALLIE",
        "credential": "RD, LRD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT89031",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ND",
            "license": "1266",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "D-10224515",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "4389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.