Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598405169 Individual Practitioner Female Practitioner

Miranda N Larson , RD

Dietitian, Registered • Crosby, MN

Professional Overview & Biography Verified Profile Summary

Miranda Larson, RD is a registered healthcare professional specializing in Dietitian, Registered in Crosby, MN. Practice services are available at 320 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

320 E Main St

Crosby, MN 564411645

Telephone 2185467000
Fax 2185464400
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Crosby, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Crosby, MN (1611 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-09
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License MN 4587

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dietitian
4587 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Matthew Fleming , PA-C

Physician Assistant

NPI 1003298381

Physician Assistant (Certified)

Dr. Camille Lang , MD

Family Medicine

NPI 1013165851

Doctor of Medicine (M.D.)

Jamie Withrow , RD, LD, CDE

Dietetic Technician, Registered

NPI 1013386457

Registered Dietitian, Licensed Dietitian, Certified Diabetes Educator

Adam English

Nurse Practitioner - Family

NPI 1013391515
Mitchell Mimbach , PA

Physician Assistant

NPI 1013528900

Physician Assistant

Dr. Rajesh Bhargava , MD

Internal Medicine

NPI 1013995802

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated March 09, 2023

Recorded as MIRANDA LARSON, RD

NPI Profile Active March 31, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2022

Registered at 320 E MAIN ST, CROSBY, MN 564411645 (Tel: 2185467000)

📍
Updated Business Mailing Address March 31, 2022

Registered at 320 E MAIN ST, CROSBY, MN 564411645 (Tel: 2185467000)

👤
Provider Name / Credentials Updated March 31, 2022

Recorded as MIRANDA BERG, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2022

Dietitian, Registered (License #4587 in MN)

🟢
Initial NPI Registration & Enumeration March 31, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Miranda Larson. Be the first to share your experience!

Sign in to leave a review for Miranda Larson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1598405169
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2022
Last Update: March 09, 2023
Sole Proprietor: No

Mailing Address

320 E Main St

Crosby, MN 564411645

Phone: 2185467000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.