NPI 1013442359 · live from the CMS NPI Registry
Timothy Baebenroth, R.D.
Dietitian, Registered in Minneapolis, MN. National Provider Identifier 1013442359, active.
NPI record
| NPI | 1013442359 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1 Veterans Dr, Minneapolis, MN 55417 |
| Practice phone | 612-467-2004 |
| Enumerated | April 24, 2017 |
| Last updated | December 12, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 86064227 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.