ALICIA REARDON NDTR
NPI 1598640930
Dietetic Technician, Registered in Park Rapids, MN

Active since August 06, 2025
600 PLEASANT AVE S, PARK RAPIDS, MN 56470(218) 616-3377 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alicia Reardon Ndtr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICIA REARDON NDTR (NPI 1598640930) is an individual dietetic technician, registered in Park Rapids, Minnesota, licensed in Minnesota (86170823) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1598640930
Entity TypeIndividualFemale
Primary Taxonomy136A00000X
Provider Legal NameALICIA REARDONCredential: NDTR
Location Address600 PLEASANT AVE SPark Rapids, MN 56470-1431
Mailing Address17664 Sunny Hill DrLaporte, MN 56461-5084 · (952) 486-2231
Sole ProprietorNo
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
NPI 1598640930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietetic Technician, RegisteredDietary & Nutritional Service Providers
Taxonomy Code136A00000X
License Licensed in MN · 86170823
Definition
A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) or established by CDR, the nature of which are dependent upon the level of academic degree obtained. The scope of practice of the NDTR focuses on food, nutrition, and dietetics practice, as well as related services. NDTRs work under the supervision of a Registered Dietitian Nutritionist (RDN) when in direct patient/client nutrition care, and may work independently in providing general nutrition education to healthy populations. Patient/client populations include individuals receiving individualized care who have medical conditions or diseases, as well as at-risk individuals receiving personalized nutrition guidance as part of preventive health care.
600 PLEASANT AVE S, Park Rapids, MN 56470

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
600 PLEASANT AVE S
PARK RAPIDS, MN 56470
General Acute Care Hospital (Critical Access)
600 PLEASANT AVE S
PARK RAPIDS, MN 56470
Physician Assistant (Medical)
600 PLEASANT AVE S
PARK RAPIDS, MN 56470
Physical Therapy Assistant
600 PLEASANT AVE S
PARK RAPIDS, MN 56470
Family Medicine
600 PLEASANT AVE S
PARK RAPIDS, MN 56470
Physical Therapist
600 PLEASANT AVE S
PARK RAPIDS, MN 56470
Nurse Anesthetist, Certified Registered
600 PLEASANT AVE S
PARK RAPIDS, MN 56470
Family Medicine
600 PLEASANT AVE S, ST. JOSEPH'S AREA HEALTH SERVICES.
PARK RAPIDS, MN 56470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alicia Reardon's NPI number?

The NPI number for Alicia Reardon is 1598640930. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Alicia Reardon located?

Alicia Reardon practices at 600 Pleasant Ave S, Park Rapids, MN 56470. The listed phone number is (218) 616-3377.

What is Alicia Reardon's specialty?

The primary specialty registered for this NPI is Dietetic Technician, Registered with taxonomy code 136A00000X.

When was this NPI record last updated?

The NPPES record for Alicia Reardon was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.