Active NPI
Katherine Thistle Rivard, RD,LD
- Registered Dietitian
- Saint Paul, MN
National Provider Identifier
1235472275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1916
- Practice address
- 695 Glenbrook Ave N
Saint Paul, MN 55128-6508 - Phone
- (651) 387-9902
- NPI assigned
- Mar 28, 2013
- 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 | 1916 | MN | Primary |
Addresses
Primary practice location
695 Glenbrook Ave N
Saint Paul, MN 55128-6508
Mailing address
11240 Cedar Pointe
Minnetonka, MN 55305
Phone (763) 370-9569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 816463 | Other | MN | AMERICAN DIETETIC ASSOCIATION |
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 |
|---|---|---|---|
| 1916 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1235472275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11240 CEDAR POINTE",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55305",
"telephone_number": "763-370-9569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 GLENBROOK AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551286508",
"telephone_number": "651-387-9902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVARD",
"first_name": "KATHERINE",
"middle_name": "THISTLE",
"name_prefix": "Ms.",
"credential": "RD,LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-28",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "1916",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN DIETETIC ASSOCIATION",
"identifier": "816463",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.