Cassandra Elizabeth Pedersen, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3902 Issued in MN

Practice address

501 W Saint Germain Street
2ND & 3Rd Floor
Saint Cloud, MN 56301-3633

Phone

(763) 486-8335

Fax

(763) 343-6112

NPI assigned

Jul 27, 2021

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Embrace Whole Health, LLC

  • Registered Dietitian
  • St. Cloud, MN
  • NPI 1134072671

  Dietitian, Registered

  NPD Authorized official
• Body to Soul, LLC

  • Registered Dietitian
  • Chicago, IL
  • NPI 1003671058

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1730852609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W SAINT GERMAIN STREET",
            "address_2": "2ND & 3RD FLOOR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013633",
            "telephone_number": "763-486-8335",
            "fax_number": "763-343-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W SAINT GERMAIN STREET",
            "address_2": "2ND & 3RD FLOOR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013633",
            "telephone_number": "763-486-8335",
            "fax_number": "763-343-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "CASSANDRA",
        "middle_name": "ELIZABETH",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonah Pearson, MD
• Sabrina Pebworth, LPN
• Sandy Lynn Peck, AU.D.
• Sue Peck, PT
• Matthew Albert Peckskamp, PA-C
• Gwen Katrina Pedersen, M.S.
• Erin Marie Pederson, PA-C
• Ginger Lyn Pederson, LICSW
• Jeremy Pederson, BSN, PHN
• Megan Ryleigh Pederson

• Registered Dietitian in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.