Individual provider Active NPI

Danielle Lynn Saubert, RDN

  • Registered Dietitian
  • Woodbury, MN
National Provider Identifier
1861850646
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3663 Issued in MN
Practice address
576 Bielenberg Dr
Woodbury, MN 55125-1734
Phone
(651) 645-5323
Fax
(651) 348-3355
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3663 MN Primary

Addresses

Primary practice location

576 Bielenberg Dr
Woodbury, MN 55125-1734

Mailing address

1085 Hassell Rd
Hoffman Estates, IL 60169-2659
Phone (847) 507-9702

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

State licenses

LicenseStateTypeSpecialty
3663MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tasty Balance LLC Dietitian, Registered Past Accepting new patients
Emily Program PC Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1861850646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 HASSELL RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692659",
            "telephone_number": "847-507-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 BIELENBERG DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251734",
            "telephone_number": "651-645-5323",
            "fax_number": "651-348-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUBERT",
        "first_name": "DANIELLE",
        "middle_name": "LYNN",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "3663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.