Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Maureen Bazille, RD

Individual provider Nutritionist · NPI 1700042702

Mary Maureen Bazille, RD is a Registered Dietitian OR Nutrition Professional in Minneapolis, Minnesota. Qualified in 2005, 21 years ago. Practices with University of Minnesota Health Clinics and Surgery Center Inc, a 615-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
21
Licensed in
VA
In the registry since
2008
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 273-4395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X · Licence 994556 (VA)

Record details

NPI number1700042702
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedJuly 30, 2008
Last updated in NPPESDecember 28, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice University Of Minnesota Health Clinics And Surgery Center Inc — 615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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