Individual provider Active NPI

Lindsey Metcalfe, MS, RD, LD

  • Registered Dietitian
  • Eden Prairie, MN
National Provider Identifier
1740973650
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4357 Issued in MN
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

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230706000568 MN Practitioner - Registered Dietitian Or Nutrition Professional 5496114647 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4357MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Necessary Nutrition LLC Dietitian, Registered CurrentSince Jun 15, 2023 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.

Verify at the official NPI Registry.