Active NPI
Lindsey Metcalfe, MS, RD, LD
- Registered Dietitian
- Eden Prairie, MN
National Provider Identifier
1740973650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4357
- Practice address
- 6385 Old Shady Oak Rd
Eden Prairie, MN 55344-3299 - Phone
- (612) 638-2778
- Fax
- (612) 206-8232
- NPI assigned
- May 29, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 4357 | MN | Primary |
Addresses
Primary practice location
6385 Old Shady Oak Rd
Eden Prairie, MN 55344-3299
Mailing address
3742 Elmo Rd
Hopkins, MN 55305-4272
Other names 1
- Lindsey Pettit
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4357 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Necessary Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
6385 Old Shady Oak Rd
Ste 250
Eden Prairie, MN 55344
Phone (612) 226-0907
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": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1740973650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3742 ELMO RD",
"city": "HOPKINS",
"state": "MN",
"postal_code": "553054272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6385 OLD SHADY OAK RD",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443299",
"telephone_number": "612-638-2778",
"fax_number": "612-206-8232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METCALFE",
"first_name": "LINDSEY",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-29",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "4357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSEY",
"last_name": "PETTIT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.