IndividualActive
Alice Green, RD
NPI 1063059632 · Registered Dietitian · Saint Paul, MN
Provider details
- NPI number
- 1063059632
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
280 Smith Ave N Ste 700
Saint Paul, MN 55102-2972
Phone: (651) 241-6600
Approximate (ZIP-level) locationGet directions
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Additional practice locations (1)
- 5 Good Samaritan WayMount Vernon, IL 62864-2402Phone: (916) 436-8300Fax: (618) 436-6105
Registry dates
- Enumerated
- 2019-12-03
- Last updated
- 2024-08-13
- Certified
- 2024-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.