Tara Ettestad, RD, LD, CDE
NPI 1578991352 · Registered Dietitian · Bloomington, MN
Enrolled with Medicare as Practitioner - Registered Dietitian Or Nutrition Professional · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tara Ettestad, RD, LD, CDE is a Registered Dietitian provider in Bloomington, MN (NPI 1578991352).
Provider details
- NPI number
- 1578991352
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LD, CDE
- Sex
- Female
- Sole proprietor
- No
- License
- 2873 (MN)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2013-10-14
- Last updated
- 2016-11-02
Frequently asked questions
- What is Tara Ettestad's NPI number?
- Tara Ettestad's National Provider Identifier (NPI) is 1578991352, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tara Ettestad's specialty?
- Tara Ettestad is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Tara Ettestad located?
- Tara Ettestad's practice location on file with NPPES is 600 W 98th St, Bloomington, MN 55420.
- What is Tara Ettestad's phone number?
- The practice phone number listed in the NPPES registry for Tara Ettestad is (952) 885-6235.
- Does Tara Ettestad accept Medicare?
- Tara Ettestad is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tara Ettestad's NPI active?
- Yes — Tara Ettestad's NPI (1578991352) is active in the NPPES registry as of the last update on 2016-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.