Kaycie Rose Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

KAYCIE ROSE NUTRITION LLC

Practice address

2855 Anthony LN S Ste 125
St Anthony, MN 55418-3265

Phone

(612) 360-6225

Fax

(888) 509-6038

NPI assigned

Jan 15, 2019

Last updated

Aug 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kaycie Lindeman, RDNPI 1215325402

Title

Registered Dietitian

Phone

(612) 360-6225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kaycie Lindeman, RDN, LD

  • Registered Dietitian
  • St Anthony, MN
  • NPI 1215325402

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1205300902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 GRAND AVE APT 302",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022630",
            "telephone_number": "612-360-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 ANTHONY LN S STE 125",
            "city": "ST ANTHONY",
            "state": "MN",
            "postal_code": "554183265",
            "telephone_number": "612-360-6225",
            "fax_number": "888-509-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYCIE ROSE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "LINDEMAN",
        "authorized_official_first_name": "KAYCIE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "612-360-6225",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khalid Jama
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• Osman Sheikh Ali Jama
• Kirby Charles Johnson, DDS
• K Home Cares LLC
• Ayan Abdi Khalif
• Muna Abdi Khalif
• David Jun Kim, PHARMD
• Meghan Kujawa
• La Costa Health Services LLC

• Registered Dietitian in St Anthony, MN
• Providers in St Anthony, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.