Active NPI
Kaila Marie Kramer, RDN
- Registered Dietitian
- Brainerd, MN
National Provider Identifier
1124859020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1100013
- Practice address
- 722 NW 7TH St
Brainerd, MN 56401-2912 - Phone
- (218) 825-2616
- NPI assigned
- Aug 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1100013 | MN | Primary |
Addresses
Primary practice location
722 NW 7TH St
Brainerd, MN 56401-2912
Mailing address
13910 Paper Birch Cir
Baxter, MN 56425-8875
Phone (218) 831-4185
Other names 1
- Ms. Kaila Marie Eberhardt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1100013 | MN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1124859020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13910 PAPER BIRCH CIR",
"city": "BAXTER",
"state": "MN",
"postal_code": "564258875",
"telephone_number": "218-831-4185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 NW 7TH ST",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564012912",
"telephone_number": "218-825-2616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "KAILA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "1100013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAILA",
"last_name": "EBERHARDT",
"middle_name": "MARIE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brainerd, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.