Kelly Lawler, RD, LD, MBA

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3745 Issued in MN

Practice address

4363 Unity Ave N
Robbinsdale, MN 55422-1208

Phone

(507) 202-0316

NPI assigned

Nov 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

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

{
    "created_epoch": "1478908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1487196135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4363 UNITY AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221208",
            "telephone_number": "507-202-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4363 UNITY AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221208",
            "telephone_number": "507-202-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLER",
        "first_name": "KELLY",
        "credential": "RD, LD, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-12",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "3745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Larson, CNP
• Jeffrey Larson, M.D.
• Keith William Larson, CRNA
• Robyn Larson, CRNA
• Adrianne R Law, OTR
• Daniel P Leafblad, MD
• Leah Jane Solutions, Inc. Dba Seniors Helping Seniors
• Ryan V Lehmann, RD
• Mary Kay Leibel, PTA
• Michael Leonard, PA-C

• Registered Dietitian in Robbinsdale, MN
• Providers in Robbinsdale, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.