Abby L Mathistad, MS, RD, LN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0413 Issued in SD

Practice address

502 E Monroe St
Rapid City, SD 57701-1400

Phone

(605) 755-4060

Fax

(605) 755-4012

NPI assigned

Feb 17, 2012

Last updated

Feb 7, 2014By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1841563194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "address_2": "ATTEN CHRISTIE MSS",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E MONROE ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011400",
            "telephone_number": "605-755-4060",
            "fax_number": "605-755-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHISTAD",
        "first_name": "ABBY",
        "middle_name": "L",
        "credential": "MS, RD, LN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-17",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "SD",
            "license": "0000",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SD",
            "license": "0000",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SD",
            "license": "0413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alana Marie Mastin, CNP
• Carl Wayne Mathews, MS
• Cris Ann Mathews, PA-C
• Michael Mathews, MD
• Jennifer Leigh Mathieu
• Elaine Marie Matotamahece
• Susan A Matthew, CNP
• Tarin Matthew, ARDMS
• Timothy D Matthew, CRNA
• Neil Matthiessen, OTD, OTR/L

• Registered Dietitian in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Registered Dietitian in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.