| Northern Nutrition Group, Llc | |
|
2002 N 22nd Ave Ste 2, Bozeman, MT 59718-3153 | |
| (406) 282-1398 | |
| (406) 551-1420 |
| Full Name | Northern Nutrition Group, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 2002 N 22nd Ave Ste 2, Bozeman, Montana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740754472 | NPI | - | NPPES |
| 1134654759 | Medicaid | MT | |
| 1740754472 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Sara Engberg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679812309 PECOS PAC ID: 4385872316 Enrollment ID: I20140120000481 |
| Provider Name | Kimberly Marie Johnson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134654759 PECOS PAC ID: 2466728076 Enrollment ID: I20171026002326 |
| Provider Name | Jessica Badaracco Griffel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144738048 PECOS PAC ID: 1355699927 Enrollment ID: I20180731000207 |
| Provider Name | Rebecca Maurillo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487206868 PECOS PAC ID: 5698157949 Enrollment ID: I20230425001964 |
| Provider Name | Lindsey Grauman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871062208 PECOS PAC ID: 4486028180 Enrollment ID: I20230712000513 |
| Provider Name | Sara Elizabeth Jay |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598213662 PECOS PAC ID: 1355704511 Enrollment ID: I20230906000691 |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Nutrition Group, Llc Po Box 73, Bozeman, MT 59771 Ph: () - | Northern Nutrition Group, Llc 2002 N 22nd Ave Ste 2, Bozeman, MT 59718-3153 Ph: (406) 282-1398 |
Transforming Nutrition Care Dietitian Medicare: Not Enrolled in Medicare Practice Location: 14 South Willson Ave, Bozeman, MT 59715 Phone: 406-579-9182 Fax: 406-551-1208 | |
Three Rivers Nutrition And Dietietics Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3731 Equestrian Ln Apt 202b, Bozeman, MT 59718 Phone: 412-526-6398 | |
Meghan Womack Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1940 W Dickerson St Ste 207, Bozeman, MT 59718 Phone: 406-219-8462 Fax: 406-551-1104 | |
Arlene Eliason, RD, LN, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 935 Highland Blvd, Suite 2180, Bozeman, MT 59715 Phone: 406-414-5331 Fax: 406-414-5332 | |
Ms. Maria Rita Ballesteros Bono, RN, RD, CDCES, MS Dietitian Medicare: Medicare Enrolled Practice Location: 3905 Wellness Way, Bozeman, MT 59718 Phone: 406-898-1957 Fax: 406-898-1959 | |
Tana Meyer, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 607 Professional Dr, Bozeman, MT 59718 Phone: 406-282-1398 | |
Kimberly Johnson, RD Dietitian Medicare: Medicare Enrolled Practice Location: 110 E College St, Bozeman, MT 59715 Phone: 229-560-8807 |