Provider Demographics
NPI:1881208049
Name:FLOWERS, CASSIE CELESTE (RD)
Entity type:Individual
Prefix:
First Name:CASSIE
Middle Name:CELESTE
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:GRACE
Other - Last Name:HOSFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:9128 FLORIDA AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55445-1649
Mailing Address - Country:US
Mailing Address - Phone:320-282-0120
Mailing Address - Fax:
Practice Address - Street 1:9128 FLORIDA AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55445-1649
Practice Address - Country:US
Practice Address - Phone:320-282-0120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-04
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4006133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered