Annie Lynn Clarkin, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

4199 Issued in MN

Practice address

2124 Dupont Ave S Ste 202
Minneapolis, MN 55405-2719

Phone

(952) 358-1414

NPI assigned

Sep 28, 2021

Last updated

Feb 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nourishing Waves Nutrition PLLC

  • Registered Dietitian
  • Minneapolis, MN
  • NPI 1528822624

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Larry Anderson PSYD LLC

  • Psychologist
  • Minneapolis, MN
  • NPI 1841796414
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1083386197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 DUPONT AVE S STE 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052719",
            "telephone_number": "952-358-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 DUPONT AVE S STE 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052719",
            "telephone_number": "952-358-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKIN",
        "first_name": "ANNIE",
        "middle_name": "LYNN",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "4199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Clark
• Blake Clarke, DDS
• John Paul Clarke, PH.D.
• Samantha Joann Clarke, PA
• Steven Elliot Clarke, MD
• Claro Interpreting Services
• Christie Clason, PH.D.
• Classic Care in-Home Services LLC
• Classic Health Care, LLC
• Donald Clausen, DDS

• Registered Dietitian in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.