Active NPI
Lucy Chermak, RD, LD
- Registered Dietitian
- Saint Paul, MN
National Provider Identifier
1912379181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2981
- Practice address
- 2230 Como Ave
Saint Paul, MN 55108-1720 - Phone
- (651) 645-5323
- NPI assigned
- Oct 27, 2015
- Last updated
- Jun 5, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 2981 | MN | Primary |
Addresses
Primary practice location
2230 Como Ave
Saint Paul, MN 55108-1720
Mailing address
400 S 4TH Street
Ste 410 PMB 89104
Minneapolis, MN 55415-1720
Phone (651) 206-2650
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucy Chermak LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
400 S 4th St
Ste 410
Minneapolis, MN 55415
Phone (612) 293-9588
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1912379181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S 4TH STREET",
"address_2": "STE 410 PMB 89104",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151720",
"telephone_number": "651-206-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 COMO AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551081720",
"telephone_number": "651-645-5323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERMAK",
"first_name": "LUCY",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-27",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "2981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.