| Jennifer L Guptail, RD | |
| 6401 France Ave S, Edina, MN 55435-2104 | |
| (952) 924-5000 | |
| Not Available | 
| Full Name | Jennifer L Guptail | 
|---|---|
| Gender | Female | 
| Speciality | Dietitian, Registered | 
| Location | 6401 France Ave S, Edina, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255951950 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 4272 (Minnesota) | Primary | 
| Provider Name | Park Nicollet Clinic | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jennifer L Guptail, RD 2180 Pinehurst Dr, Chanhassen, MN 55317-4579 Ph: (612) 719-7774 | Jennifer L Guptail, RD 6401 France Ave S, Edina, MN 55435-2104 Ph: (952) 924-5000 | 
| Rachel Smith,  Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3250 W 66th St Apt 548, Edina, MN 55435 Phone: 651-447-6737 | |
| Brittany Roley,  Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3250 W 66th St, Edina, MN 55435 Phone: 651-447-6737 | |
| Ms. Susan M Parks, RD,CSSD,LDN,CPT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7300 Metro Blvd, Suite 140, Edina, MN 55439 Phone: 651-592-7830 Fax: 651-405-3850 | |
| Miss Taylor Cain, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3250 W 66th St Apt 548, Edina, MN 55435 Phone: 574-968-3506 | |
| Amelia Lesher, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3250 W 66th St Apt 548, Edina, MN 55435 Phone: 515-979-4106 | |
| Viverant, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5400 France Ave S, Edina, MN 55410 Phone: 952-835-4512 | |
| Renewed Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5201 Eden Ave Ste 300, Edina, MN 55436 Phone: 320-293-2189 |