Cathy B Imdieke, LRD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

91 Issued in ND

Practice address

519 NE 1St St.
Linton, ND 58552-0527

Phone

(701) 254-4104

NPI assigned

May 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wishek Hospital-Clinic Association

  • Critical Access Hospital
  • Wishek, ND
  • NPI 1295772804
  Medicare reassignment NPD
• Wishek Hospital-Clinic Association

  dba Rural Health Wishek

  • Rural Health Clinic/Center
  • Wishek, ND
  • NPI 1376584623
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982818449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 NE 1ST ST.",
            "city": "LINTON",
            "state": "ND",
            "postal_code": "585520527",
            "telephone_number": "701-254-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 NE 1ST ST.",
            "city": "LINTON",
            "state": "ND",
            "postal_code": "585520527",
            "telephone_number": "701-254-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMDIEKE",
        "first_name": "CATHY",
        "middle_name": "B",
        "credential": "LRD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ND",
            "license": "91",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Lee Freeman
• Jacqueline Marie Grunefelder, FNPC
• Heather Dawn Hase
• Sarah Hoffer
• Savanna Le Horst
• Ronald Kaiser, RPT
• Baily Kelsch
• John F. Knecht, MD
• Linton Drug Company
• Linton Hospital

• Registered Dietitian in Linton, ND
• Providers in Linton, ND by specialty
• Registered Dietitian in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.