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

Tara Ettestad, RD, LD, CDE

Individual provider Registered Dietitian · NPI 1578991352

Tara Ettestad, RD, LD, CDE is a Registered Dietitian OR Nutrition Professional in Bloomington, Minnesota. Qualified in 2008, 18 years ago. Practices with Fairview Express Care, a 1,964-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
18
Licensed in
MN
In the registry since
2013
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.

See every abbreviation used in this directory →

Practice location Address checks out

600 W 98th St
Bloomington, MN 55420
Phone: (952) 885-6235
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 2873 (MN)

Record details

NPI number1578991352
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD , CDE
Sole proprietorNo
NPI enumeratedOctober 14, 2013
Last updated in NPPESNovember 2, 2016

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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