| Kristin Nm Ewing, RDLD | |
|
1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 | |
| (320) 252-5131 | |
| Not Available |
| Full Name | Kristin Nm Ewing |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1200 Sixth Ave N, St Cloud, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669420709 | NPI | - | NPPES |
| HEALTHPARTNERS | Other | HP48003 | |
| MEDICA | Other | 6300338 | |
| 092ROEW | Other | MN | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2390 (Minnesota) | Primary |
| Provider Name | Centracare Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Nm Ewing, RDLD 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 Ph: (320) 252-5131 | Kristin Nm Ewing, RDLD 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 Ph: (320) 252-5131 |
Mrs. Kayla Mae Carlson, RD LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Cir, Suite 2500, St Cloud, MN 56303 Phone: 320-229-5000 Fax: 218-828-7579 | |
Alyssa Marie Monson, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-252-3342 | |
Susan Beth Heysse, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Avenue North, Centracare Clinic River Campus Nephrology, St Cloud, MN 56303 Phone: 320-240-2206 Fax: 320-240-2108 | |
Jessica Lynne George, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Avenue North, Centracare Clinic River Campus, St Cloud, MN 56303 Phone: 320-656-7020 Fax: 320-255-5714 | |
Allison Tracy Turnquist Doerfler, RD LD Dietitian Medicare: Medicare Enrolled Practice Location: 1900 Centracare Circle #1300, Centracare Clinic Women And Children Allergy/immunology, St Cloud, MN 56303 Phone: 320-654-3650 Fax: 320-654-3647 | |
Richard L Flores, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Drive, St Cloud, MN 56303 Phone: 320-252-1670 | |
Bethany T. Dingmann, RD LD Dietitian Medicare: May Accept Medicare Assignments Practice Location: 1900 Centracare Circle, Suite 2500, St Cloud, MN 56303 Phone: 320-229-5000 |