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Deactivated NPI 1932246451 Deactivated / Inactive NPI Female Practitioner

Charla Spitzack , RD

Dietitian, Registered • Madelia, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Charla Spitzack has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 31, 2007
NPI Deactivation Date January 22, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Charla Spitzack, RD was a registered Dietitian, Registered practicing in Madelia, MN. Throughout an active medical career spanning 13 years, Charla Spitzack provided care at the practice location at 121 DREW AVE SE until profile deactivation on 2020-01-22.

Practice Location & Contact Primary Location

Practice Address

121 Drew Ave Se

Madelia, MN 560621841

Telephone 5076423255
Associated Practice Facility / Clinic
🏢 Madelia Health Facility NPI 1912999137

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Madelia, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Madelia, 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

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License MN 1336

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.

Practice Associates & Co-Workers

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

10 Associated Practitioners
Jennifer Mclaughlin , FNP-C

Nurse Practitioner - Family

NPI 1174205728

Family Nurse Practitioner (Certified)

Nikolai Krahn , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1487257721

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Julie Pace , NP

Nurse Practitioner - Family

NPI 1588649180

Nurse Practitioner

Robyn Helget , LPCC, LPC, NCC

Counselor - Mental Health

NPI 1598171761

Licensed Professional Clinical Counselor, Licensed Professional Counselor, National Certified Counselor

Cameron Ryer , CNP

Nurse Practitioner - Family

NPI 1619494051

Certified Nurse Practitioner

Megan Gossman , NP

Nurse Practitioner - Family

NPI 1851002059

Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 22, 2020

Record deactivated on January 22, 2020

NPI Profile Active July 26, 2014

NPI status registered as active in NPPES database

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Updated Practice Location July 26, 2014

Registered at 121 DREW AVE SE, MADELIA, MN 560621841 (Tel: 5076423255)

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Updated Business Mailing Address July 26, 2014

Registered at 121 DREW AVE SE, MADELIA, MN 560621841 (Tel: 5076423255)

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Provider Name / Credentials Updated July 26, 2014

Recorded as CHARLA SPITZACK, RD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2014

Dietitian, Registered (License #1336 in MN)

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Initial NPI Registration & Enumeration January 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932246451
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2007
Last Update: July 26, 2014
Deactivation Date: January 22, 2020

Mailing Address

121 Drew Ave Se

Madelia, MN 560621841

Phone: 5076423255

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.