Active NPI
Roberta Horner
- Registered Dietitian
- Hopkins, MN
National Provider Identifier
1962977058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2797
- Practice address
- 10653 Wayzata Blvd Ste 200
Hopkins, MN 55305-1543 - Phone
- (952) 224-1919
- NPI assigned
- Oct 4, 2018
- Last updated
- Oct 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 2797 | MN | Primary |
Addresses
Primary practice location
10653 Wayzata Blvd Ste 200
Hopkins, MN 55305-1543
Mailing address
10653 Wayzata Blvd Ste 200
Hopkins, MN 55305-1543
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2797 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1962977058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10653 WAYZATA BLVD STE 200",
"city": "HOPKINS",
"state": "MN",
"postal_code": "553051543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10653 WAYZATA BLVD STE 200",
"city": "HOPKINS",
"state": "MN",
"postal_code": "553051543",
"telephone_number": "952-224-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNER",
"first_name": "ROBERTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-04",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "2797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hopkins, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.