Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306887393 Individual Practitioner Female Practitioner

Marya Dawn Willie , LRD

Dietitian, Registered • Park Rapids, MN

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Marya Willie, LRD is a registered healthcare professional specializing in Dietitian, Registered in Park Rapids, MN. Official NPI practice address is registered at 705 PLEASANT AVE S.

Practice Location & Contact Primary Location

Practice Address

705 Pleasant Ave S
Essentia Health Park Rapids Clinic

Park Rapids, MN 564701440

Telephone 2187322800
Fax 2187322857
Associated Practice Facility / Clinic
🏢 Dakota Clinic, Ltd. Facility NPI 1124079488

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Park Rapids, MN

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

Practicing in Park Rapids, 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 2280

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 Lhs/bannerhealth #
34871 (MN)
Commercial Insurance / Payer ID Medica #
6300246 (MN)
Commercial Insurance / Payer ID Medica #
6300248 (MN)
Commercial Insurance / Payer ID Medica #
6300247 (MN)
Commercial Insurance / Payer ID Healthpartners #
HP39460 (MN)
Commercial Insurance / Payer ID Ndbs #
23627 (MN)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jonathon Peterson , PT

Physical Therapist

NPI 1003008525

Physical Therapist

Kathryn Nevins , CNP

Nurse Practitioner - Family

NPI 1013343284

Certified Nurse Practitioner

Genevieve Keranen , CDE

Nutritionist - Nutrition, Education

NPI 1033156997

Certified Diabetes Educator

Megan Meyers

Physician Assistant

NPI 1043067150
NPI 1043309065

Doctor of Medicine (M.D.)

Troy Schmitz , OTR

Occupational Therapist

NPI 1043462831

Occupational Therapist Registered

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 13, 2018

Registered at 705 PLEASANT AVE S, ESSENTIA HEALTH PARK RAPIDS CLINIC, PARK RAPIDS, MN 564701440 (Tel: 2187322800)

📍
Updated Business Mailing Address March 13, 2018

Registered at 400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC MCL2CRED, DULUTH, MN 558001951 (Tel: 2187322800)

NPI Profile Active August 21, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2007

Registered at 705 PLEASANT AVE S, PARK RAPIDS, MN 564701440 (Tel: 2187322800)

📍
Updated Business Mailing Address August 21, 2007

Registered at 705 PLEASANT AVE S, PARK RAPIDS, MN 564701440 (Tel: 2187322800)

👤
Provider Name / Credentials Updated August 21, 2007

Recorded as MARYA WILLIE, LRD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2007

Dietitian, Registered (License #2280 in MN)

🟢
Initial NPI Registration & Enumeration June 09, 2006

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: 1306887393
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2006
Last Update: March 13, 2018
Sole Proprietor: No

Mailing Address

400 East Third Street, Essentia Health Duluth Clinic Mcl2cred

Duluth, MN 558001951

Phone: 2187322800

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.