Active NPI
Madison Sydney Cheever, MPH, RD, LDN, CHES
- Registered Dietitian
- Prior Lake, MN
National Provider Identifier
1275284200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5448
- Practice address
- 4455 Village Lake Dr SE Unit 85
Prior Lake, MN 55372-3086 - Phone
- (775) 685-6998
- NPI assigned
- Jan 11, 2022
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86143452 | AL | |
| Registered Dietitian | 133V00000X | DT91186 | TX | |
| Registered Dietitian | 133V00000X | 164011636 | IL | |
| Registered Dietitian | 133V00000X | 5657-NU-NU | MA | |
| Registered Dietitian | 133V00000X | 5448 | MN | Primary |
Addresses
Primary practice location
4455 Village Lake Dr SE Unit 85
Prior Lake, MN 55372-3086
Mailing address
4455 Village Lake Dr SE Unit 85
Prior Lake, MN 55372-3086
Phone (775) 685-6998
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 |
|---|---|---|---|
| 86143452 | AL | MD | Registered Dietitian |
| 164011636 | IL | MD | Registered Dietitian |
| 5657-NU-NU | MA | MD | Registered Dietitian |
| DT91186 | TX | MD | Registered Dietitian |
| 5448 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| XP Sports International | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1641859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1275284200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 VILLAGE LAKE DR SE UNIT 85",
"city": "PRIOR LAKE",
"state": "MN",
"postal_code": "553723086",
"telephone_number": "775-685-6998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 VILLAGE LAKE DR SE UNIT 85",
"city": "PRIOR LAKE",
"state": "MN",
"postal_code": "553723086",
"telephone_number": "775-685-6998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEEVER",
"first_name": "MADISON",
"middle_name": "SYDNEY",
"credential": "MPH, RD, LDN, CHES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-11",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "86143452",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT91186",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164011636",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "5657-NU-NU",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "5448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prior Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.