KM Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

KM NUTRITION, LLC

Practice address

4682 Wilderness CT Ste 102
Brainerd, MN 56401-2834

Phone

(320) 267-0053

NPI assigned

Apr 7, 2023

Organization subpart

No

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

Authorized official

Name

Karen MarschelNPI 1629045604

Title

Owner

Phone

(320) 267-0053

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Renee Marschel, RD

  • Registered Dietitian
  • Brainerd, MN
  • NPI 1629045604

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Kristina Marie Lelcu, MD

  • Family Medicine Physician
  • Brainerd, MN
  • NPI 1669612677
  NPD
• Ashley Gagnon

  • Medical Physician Assistant
  • Lake Havasu City, AZ
  • NPI 1750036430
  NPD (past)

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1548955313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24512 AGRAM BLVD",
            "city": "PIERZ",
            "state": "MN",
            "postal_code": "563641524",
            "telephone_number": "320-267-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4682 WILDERNESS CT STE 102",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564012834",
            "telephone_number": "320-267-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KM NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "MARSCHEL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-267-0053"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Renae Klein, LADC
• Timothy Peter Klemmetsen, CRNA
• Alexis Nicole Klicker, LADC
• Ann Elaine Kline
• Nathan Aaron Kline
• Tamara Kmecik, LICSW
• Loren Dale Kmett, AUDIOLOGIST
• Rodney Lamar Knowles, M.S.
• Jean Kocer, MSW, LICSW
• Kathleen Diane Kongsjord, LPCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.