Active NPI
Cassie Madsen, RD
- Registered Dietitian
- Duluth, MN
National Provider Identifier
1639813462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3159
- Practice address
- 1129 N 49TH Ave E
Duluth, MN 55804-2425 - Phone
- (507) 271-0503
- NPI assigned
- Apr 27, 2022
- Sex
- Female
- 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 | 3159 | MN | Primary |
Addresses
Primary practice location
1129 N 49TH Ave E
Duluth, MN 55804-2425
Mailing address
1129 N 49TH Ave E
Duluth, MN 55804-2425
Phone (507) 271-0503
Other names 1
- Cassie Davis
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1639813462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1129 N 49TH AVE E",
"city": "DULUTH",
"state": "MN",
"postal_code": "558042425",
"telephone_number": "507-271-0503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1129 N 49TH AVE E",
"city": "DULUTH",
"state": "MN",
"postal_code": "558042425",
"telephone_number": "507-271-0503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADSEN",
"first_name": "CASSIE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-27",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "3159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSIE",
"last_name": "DAVIS",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.