Active NPI
Rachael Lynn Halvorson, RD LD
- Registered Dietitian
- Eagan, MN
National Provider Identifier
1861724817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2880
- Practice address
- 1250 Yankee Doodle Rd
Suite 216
Eagan, MN 55121-2231 - Phone
- (612) 419-8955
- NPI assigned
- Feb 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 2880 | MN | Primary |
Addresses
Primary practice location
1250 Yankee Doodle Rd
Suite 216
Eagan, MN 55121-2231
Mailing address
1250 Yankee Doodle Rd
Suite 216
Eagan, MN 55121-2231
Phone (612) 419-8955
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331596800000",
"number": "1861724817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 YANKEE DOODLE RD",
"address_2": "SUITE 216",
"city": "EAGAN",
"state": "MN",
"postal_code": "551212231",
"telephone_number": "612-419-8955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 YANKEE DOODLE RD",
"address_2": "SUITE 216",
"city": "EAGAN",
"state": "MN",
"postal_code": "551212231",
"telephone_number": "612-419-8955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALVORSON",
"first_name": "RACHAEL",
"middle_name": "LYNN",
"credential": "RD LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-02",
"last_updated": "2012-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "2880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.