Active NPI
Kaycie Lindeman, RDN, LD
- Registered Dietitian
- St Anthony, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3479
- Practice address
- 2855 Anthony LN S Ste 125
St Anthony, MN 55418-3265 - Phone
- (612) 360-6225
- Fax
- (888) 509-6038
- NPI assigned
- Dec 23, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 3479 | MN | Primary |
Addresses
Primary practice location
2855 Anthony LN S Ste 125
St Anthony, MN 55418-3265
Mailing address
2519 Pierce St NE
Minneapolis, MN 55418-3839
Phone (612) 360-6225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3479 | MN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaycie Rose Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Mngi Digestive Health, P.a. | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Dietitian, Registered | Current | Accepting new patients |
| Fairview Clinics | Current | Accepting new patients |
Locations
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
400 Stinson Blvd
#2
Minneapolis, MN 55413
Phone (612) 672-2294
3001 Broadway St NE
Ste 120
Minneapolis, MN 55413
15700 37th Ave N
Plymouth, MN 55446
Phone (763) 577-0008
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
2855 Anthony Ln S
Ste 125
St Anthony, MN 55418
Phone (612) 360-6225
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Minneapolis, MN
- NPI 1609804541
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Primary Care Clinic/Center
- Elk River, MN
- NPI 1144474305
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
Dietitian, Registered
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1215325402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2519 PIERCE ST NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554183839",
"telephone_number": "612-360-6225",
"fax_number": "888-509-6038"
},
{
"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": {
"last_name": "LINDEMAN",
"first_name": "KAYCIE",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-23",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "3479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Anthony, MN
Sources for this page
- 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.