Active NPI
Elizabeth Thingvold, RD
- Registered Dietitian
- Saint Louis Park, MN
National Provider Identifier
1922596782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2870
- Practice address
- 3931 Louisiana Ave S
Saint Louis Park, MN 55426 - Phone
- (952) 993-3230
- NPI assigned
- Apr 27, 2018
- 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 | 2870 | MN | Primary |
Addresses
Primary practice location
3931 Louisiana Ave S
Saint Louis Park, MN 55426
Mailing address
Park Nicollet Clinic
3800 Park Nicollet Boulevard
Minneapolis, MN 55416
Other names 1
- Elizabeth Johnson
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2870 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Clinics | Past | Accepting new patients | |
| Fairview Health Services | Dietitian, Registered | 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.
-
- Multi-Specialty Clinic/Center
- Maple Grove, MN
- NPI 1841315165
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527033600000",
"number": "1922596782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PARK NICOLLET CLINIC",
"address_2": "3800 PARK NICOLLET BOULEVARD",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3931 LOUISIANA AVE S",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "55426",
"telephone_number": "952-993-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THINGVOLD",
"first_name": "ELIZABETH",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-27",
"last_updated": "2018-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "2870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "JOHNSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Saint Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.