Individual provider Active NPI

Kimberly Duffy, RDN, LD, CPT

  • Registered Dietitian
  • White Bear Lake, MN
National Provider Identifier
1336870336
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2389 Issued in MN
Practice address
3492 Savannah Ave
White Bear Lake, MN 55110-4579
Phone
(651) 485-6761
NPI assigned
Jun 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2389 MN Primary

Addresses

Primary practice location

3492 Savannah Ave
White Bear Lake, MN 55110-4579

Mailing address

3492 Savannah Ave
White Bear Lake, MN 55110-4579
Phone (651) 485-6761

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@strengthinnutrition.com Direct

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

LicenseStateTypeSpecialty
2389MNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Strength in Nutrition Dietitian, Registered CurrentSince Jun 26, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1336870336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3492 SAVANNAH AVE",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104579",
            "telephone_number": "651-485-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3492 SAVANNAH AVE",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104579",
            "telephone_number": "651-485-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "KIMBERLY",
        "credential": "RDN, LD, CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "2389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@strengthinnutrition.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3492 Savannah Ave",
            "city": "White Bear Lake",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551104579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.