Alexandria Bofferding

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

10930 Glacier LN N
Maple Grove, MN 55369-7557

Phone

(507) 828-3203

NPI assigned

Oct 3, 2024

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Memorial Health CareGroup PAC ID 0042123028, 502 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 and National Provider Directory roles.

• North Memorial Health Care

  • General Acute Care Hospital
  • Robbinsdale, MN
  • NPI 1851344907

  MN

  Medicare reassignment Care Compare group NPD
• North Memorial Health Care

  • Community/Retail Pharmacy
  • Robbinsdale, MN
  • NPI 1093905259
  Care Compare group
• North Memorial Health Care

  • Rehabilitation Hospital Unit
  • Robbinsdale, MN
  • NPI 1285657247
  Care Compare group
• North Memorial Health Care

  • Community Based Hospice Care Agency
  • Robbinsdale, MN
  • NPI 1437174810
  Care Compare group
• North Memorial Health Care

  • Surgery Physician
  • Robbinsdale, MN
  • NPI 1629352489
  NPD
• North Memorial Health Care

  • Clinic/Center
  • Blaine, MN
  • NPI 1841995552
  NPD
• North Memorial Health Care

  • Primary Care Clinic/Center
  • Minnetonka, MN
  • NPI 1952732729
  NPD (past)
• Mochi Medical Ca PC

  • Obesity Medicine (Family Medicine) Physician
  • San Francisco, CA
  • NPI 1174303374
  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)
• Saint Francis Medical Center

  • Internal Medicine Physician
  • Cape Girardeau, MO
  • NPI 1578513016
  NPD (past)

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1821817206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10930 GLACIER LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10930 GLACIER LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697557",
            "telephone_number": "507-828-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOFFERDING",
        "first_name": "ALEXANDRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nuhn Monique Boayue
• Rachel Collette Bock, LP
• Peggy Bodell
• Omotayo Bodunwa
• Ronald B Boeding, MD
• Anna Bohlinger
• Sarah Bohn
• Alexis A. Bolick, PA-C
• Michele Bolte, LMT
• Megan R Bonniwell, DPT

• All providers in Maple Grove, MN
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.