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Jean M Larson

Dietitian, Registered β€’ Duluth, MN

Active NPI 1922536754 Individual Practitioner Female Practitioner
Practice location in NPPES

400 E 3rd St
Duluth, MN 558051951

Call 2187868364 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

400 E 3rd St

Duluth, MN 558051951

Telephone 2187868364
Organization at the Same NPPES Address or Phone
The Duluth Clinic, Ltd Facility NPI 1245278209

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Duluth and Minnesota

62 active clinicians are listed under Dietitian, Registered with a practice address in Duluth, MN (1,591 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Duluth

1.6% of these 62 clinicians have the CMS telehealth indicator.

1.6% of these 62 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-07-28
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

35 listed
Michelle Anderson

Physician Assistant

NPI 1043247802
Michael Anick

Physician Assistant

NPI 1053348136
Dr. Gary Beaver , DO

Psychiatry & Neurology - Neurology

NPI 1023051356

Doctor of Osteopathic Medicine (D.O.)

Erin Beste , APRN, CNP

Nurse Practitioner - Family

NPI 1053072629

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Nathan Birno , PA-C

Physician Assistant

NPI 1023493103

Physician Assistant (Certified)

Dr. Eric Boehmer , MD

Family Medicine

NPI 1023217528

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated July 28, 2020

Recorded as JEAN LARSON

βœ…
NPI Profile Active May 24, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 24, 2017

Registered at 400 E 3RD ST, DULUTH, MN 558051951 (Tel: (218) 786-8364)

πŸ“
Business Mailing Address (Initial Record) May 24, 2017

Registered at ESSENTIA HEALTH DULUTH CLINIC, 400 EAST 3RD ST, DULUTH, MN 558051951 (Tel: 2187868364)

πŸ‘€
Provider Name / Credentials (Initial Record) May 24, 2017

Recorded as JEAN RODVOLD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2017

Dietitian, Registered

🟒
Initial NPI Registration & Enumeration May 24, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922536754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2017
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

Essentia Health Duluth Clinic, 400 East 3rd St

Duluth, MN 558051951

Phone: 2187868364

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.