Active NPI
Jeannie Elizabeth Paris, RD, LD
- Registered Dietitian
- Fridley, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2094
- Practice address
- 480 Osborne Rd NE
Pgihh Suite 200
Fridley, MN 55432-2773 - Phone
- (763) 236-5601
- Fax
- (763) 236-5635
- NPI assigned
- Feb 6, 2013
- Last updated
- Mar 11, 2021
- 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 | 2094 | MN | Primary |
Addresses
Primary practice location
480 Osborne Rd NE
Pgihh Suite 200
Fridley, MN 55432-2773
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000
Other practice location 1
11850 Blackfoot St NW Ste 130
Coon Rapids, MN 55433-2583
Phone (763) 236-2045
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jparis67364@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
Interoperability endpoints
- jparis67364@excellian.direct.allina.com
Organizations & group practices 5
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.
-
dba Allina Health Buffalo Specialty Clinic
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
dba Allina Health Annandale Clinic
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
dba Allina Health United General Surgery Clinic
- Surgery Physician
- Saint Paul, MN
- NPI 1003205410
-
dba Courage Kenny Rehab Associates
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
-
dba Allina Health Inver Grove Heights Clinic
- Family Medicine Physician
- Inver Grove Heights, MN
- NPI 1083910871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1992044291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 OSBORNE RD NE",
"address_2": "PGIHH SUITE 200",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554322773",
"telephone_number": "763-236-5601",
"fax_number": "763-236-5635"
}
],
"practiceLocations": [
{
"address_1": "11850 Blackfoot St NW Ste 130",
"address_purpose": "LOCATION",
"city": "Coon Rapids",
"state": "MN",
"postal_code": "554332583",
"country_code": "US",
"telephone_number": "763-236-2045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARIS",
"first_name": "JEANNIE",
"middle_name": "ELIZABETH",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-06",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "2094",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jparis67364@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "11850 Blackfoot St NW Ste 130",
"city": "Coon Rapids",
"state": "MN",
"country_code": "US",
"postal_code": "554332583",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.