Integrated Rd Care

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

INTEGRATED RD CARE

Practice address

19128 66TH Ave N
Corcoran, MN 55340-2001

Phone

(320) 237-5952

NPI assigned

Jul 23, 2024

Last updated

Jul 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jana L Martin, MS.RDN,LDNPI 1275856239

Title

Registered Dieitian

Phone

(320) 237-5952

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jana Lee Martin, R.D.

  • Registered Dietitian
  • Minneapolis, MN
  • NPI 1275856239
  Authorized official Same address or phone

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1902634801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19128 66TH AVE N",
            "city": "CORCORAN",
            "state": "MN",
            "postal_code": "553402001",
            "telephone_number": "320-237-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19128 66TH AVE N",
            "city": "CORCORAN",
            "state": "MN",
            "postal_code": "553402001",
            "telephone_number": "320-237-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED RD CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "REGISTERED DIEITIAN",
        "authorized_official_telephone_number": "320-237-5952",
        "authorized_official_credential": "MS.RDN,LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asl Interpreting Services, Inc. (ASL Interpreting Services)
• Isabelle Lilly Chernyavsky
• Comfort Chiropractic Care PLLC (Corcoran Hamel Chiropractic)
• Corcoran Hamel Chiropractic , P.a.
• Sarah Rowan Eisenreich, MSN, APRN, FNP-BC
• Amy B Johnson, MSW, LICSW
• Christopher Johnson
• Latasha Larson, OT
• Kim Rose Nelson
• Prime Recovery LLC

• Registered Dietitian in Corcoran, MN
• Providers in Corcoran, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.