Active NPI
Kerrie Roozen
- Registered Dietitian
- Saint Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3456
- Practice address
- 4500 Park Glen Rd Ste 155
Saint Louis Park, MN 55416-4888 - Phone
- (612) 284-4291
- Fax
- (888) 975-8939
- NPI assigned
- Oct 1, 2025
- Sex
- Unspecified or another gender identity
- 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 | 3456 | MN | Primary |
Addresses
Primary practice location
4500 Park Glen Rd Ste 155
Saint Louis Park, MN 55416-4888
Mailing address
4500 Park Glen Rd Ste 155
Saint Louis Park, MN 55416-4888
Phone (612) 284-4291
Other practice location 1
4344 Nicollet Ave
Minneapolis, MN 55409-2033
Phone (612) 284-4291
Other practice location 2
4344 Nicollet Ave
Minneapolis, MN 55409-2033
Phone (612) 284-4291
Other practice location 3
1919 Nicollet Ave
Minneapolis, MN 55403-3747
Phone (612) 284-4291
Other practice location 4
3252 Bryant Ave S
Minneapolis, MN 55408-3607
Phone (612) 284-4291
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 |
|---|---|---|---|
| 3456 | MN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Hill Therapy, LLC | 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.
-
- Psychologist
- St Louis Park, MN
- NPI 1255712238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1538033782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 PARK GLEN RD STE 155",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554164888",
"telephone_number": "612-284-4291",
"fax_number": "888-975-8939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 PARK GLEN RD STE 155",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554164888",
"telephone_number": "612-284-4291",
"fax_number": "888-975-8939"
}
],
"practiceLocations": [
{
"address_1": "4344 Nicollet Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554092033",
"country_code": "US",
"telephone_number": "612-284-4291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4344 Nicollet Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554092033",
"country_code": "US",
"telephone_number": "612-284-4291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1919 Nicollet Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554033747",
"country_code": "US",
"telephone_number": "612-284-4291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3252 Bryant Ave S",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554083607",
"country_code": "US",
"telephone_number": "612-284-4291",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROOZEN",
"first_name": "KERRIE",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-10-01",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "3456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.