Laurie Jean Kassen, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1453 Issued in MN

Practice address

8270 W Lake CT
Chanhassen, MN 55317-8511

Phone

(952) 200-0890

NPI assigned

May 6, 2013

Last updated

Apr 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Laurie Jean Erickson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1609211564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8270 W LAKE CT",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553178511",
            "telephone_number": "952-200-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8270 W LAKE CT",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553178511",
            "telephone_number": "952-200-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSEN",
        "first_name": "LAURIE",
        "middle_name": "JEAN",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.005817",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "1453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "ERICKSON",
            "middle_name": "JEAN",
            "credential": "R.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Virginia L Kakacek, M.D.
• Kandor Physical Therapy & Pelvic Health LLC
• Kaplan Transportation Inc
• Erin Christine Karels, CMT
• Karissa Joy Godel, Ms, LPCC, Ladc
• Michael Christian Keegan, NP-C
• Ryan Keller, PT
• Kenneth Duane Kemp, MD
• Kassidy Q King, DPT, PT
• Tanner Louis King, PT, DPT

• Registered Dietitian in Chanhassen, MN
• Providers in Chanhassen, 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 13, 2020; 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.