Elise Frances Bartelds, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

17398 Eastwood Ave
Lakeville, MN 55044-4826

Phone

(612) 618-3123

NPI assigned

Dec 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elise Frances Verdegan Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Emily Program P C

  dba The Emily Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
  • NPI 1528165065
  NPD

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

{
    "created_epoch": "1576886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1922647965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 CRYSTAL LAKE RD E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553065125",
            "telephone_number": "612-618-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17398 EASTWOOD AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444826",
            "telephone_number": "612-618-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTELDS",
        "first_name": "ELISE",
        "middle_name": "FRANCES",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-21",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "elise.bartelds@emilyprogram.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Email",
            "address_1": "17398 Eastwood Ave",
            "city": "Lakeville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550444826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "VERDEGAN",
            "middle_name": "FRANCES",
            "credential": "RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Salma Barkad
• Ainsley Barker
• Kary Ann Barrette
• Eden Marie Barry
• Laura K Barry, D.C.
• Abby Bartelma
• Jason Bartholomay, MA, LMFT, LADC
• Christine Kay Bartholomew, DC
• Kristina Barton, MS, CCC-SLP
• Annika Naomi Bartos, MA, LMFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.