Active NPI
Michelle Lynn Preuss Varsoke, R.D., L.D.
- Registered Dietitian
- Cambridge, MN
National Provider Identifier
1831324979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 724067
- Practice address
- 701 S Dellwood St
Cambridge, MN 55008 - Phone
- (763) 689-7700
- NPI assigned
- May 19, 2009
- 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 | 724067 | MN | Primary |
Addresses
Primary practice location
701 S Dellwood St
Cambridge, MN 55008
Mailing address
PO Box 149
Cambridge, MN 55008-0149
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 724067 | MN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242691200000",
"number": "1831324979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 149",
"city": "CAMBRIDGE",
"state": "MN",
"postal_code": "550080149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 S DELLWOOD ST",
"city": "CAMBRIDGE",
"state": "MN",
"postal_code": "55008",
"telephone_number": "763-689-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREUSS VARSOKE",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"credential": "R.D., L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-19",
"last_updated": "2009-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "724067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.