| Ms Taylor Brooke Omundson, RD, LD | |
|
9300 Noble Pkwy N, Brooklyn Park, MN 55443-5500 | |
| (763) 236-5300 | |
| Not Available |
| Full Name | Ms Taylor Brooke Omundson |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 9300 Noble Pkwy N, Brooklyn Park, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568100154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 4317 (Minnesota) | Secondary |
| 133V00000X | Dietitian, Registered | 86104570 (Minnesota) | Primary |
| Provider Name | Allina Health System |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Provider Name | Allina Health System |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Taylor Brooke Omundson, RD, LD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000 | Ms Taylor Brooke Omundson, RD, LD 9300 Noble Pkwy N, Brooklyn Park, MN 55443-5500 Ph: (763) 236-5300 |
Hilary G Wilde, RD, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 10000 Zane Ave N, Brooklyn Park, MN 55443 Phone: 651-357-3818 | |
Karen Therese Ruhl, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8109 Aster Dr, Brooklyn Park, MN 55428 Phone: 630-886-4607 | |
Angelique Jeanne Trombley, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 6265 W Broadway Ave, Brooklyn Park, MN 55428 Phone: 612-247-6486 | |
Ashley Meyers, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9409 Zane Ave N, Brooklyn Park, MN 55443 Phone: 515-695-3285 | |
Margaret Robbins, RD Dietitian Medicare: Medicare Enrolled Practice Location: 7650 Zane Ave N, Brooklyn Park, MN 55443 Phone: 612-873-6963 Fax: 612-873-1928 | |
Cassie Celeste Flowers, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9128 Florida Ave N, Brooklyn Park, MN 55445 Phone: 320-282-0120 |