Amy Fiske, MS, RD
Individual provider Active NPI Registered Dietitian · Otsego, MN
NPI 1902634751 · NPPES record last updated Jul 23, 2024
Key facts
- NPI
- 1902634751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 15199 75TH St NE
Otsego, MN 55330-6878 - Phone
- (612) 207-5424
- NPI assigned
- Jul 23, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
15199 75TH St NE
Otsego, MN 55330-6878
Mailing address
15199 75TH St NE
Otsego, MN 55330-6878
Phone (612) 207-5424
Other providers in Otsego, MN
- Lisa Anne Eskola
- Jennifer Lynn Esselman
- Evans Park, Inc
- Peter Moises Falcon
- Favor Homecare LLC
- Lauren Michelle Frank
- Kristina Marie Fraser
- Deborah Gabel
- Mary Margaret Gales-Wenz
- Holly M Gamache
All providers in Otsego, MN · Registered Dietitian in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.