Rachel Fog, RD, LD, CDCES
Rachel Fog, RD, LD, CDCES is a Registered Dietitian OR Nutrition Professional in Minnetonka, Minnesota. Qualified in 2010, 16 years ago. Practices with Premier OBGYN of Minnesota PLLC, a 89-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 16
- Licensed in
- MN
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
14001 Ridgedale Dr Ste 200Minnetonka, MN 55305-1747
Phone: (952) 249-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 3087 (MN) |
|---|---|
| Pediatric Nutrition Registered Dietitian | Taxonomy 133VN1004X · Licence 3087 (MN) |
Record details
| NPI number | 1407139868 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RD , LD , CDCES |
| Sole proprietor | No |
| NPI enumerated | September 22, 2011 |
| Last updated in NPPES | October 10, 2024 |
| Certification date | October 10, 2024 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | OTHER |
| Graduated | 2010 (16 years in practice) |
| Group practice | Premier Obgyn Of Minnesota Pllc — 89 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |