Active NPI
Kristina Swanson, RDN, LDN
- Registered Dietitian
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT88512
- Practice address
- 1733 Orchard Dr
Woodbury, MN 55125-8647 - Phone
- (612) 499-6015
- NPI assigned
- May 28, 2019
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 4110 | MN | |
| Registered Dietitian | 133V00000X | 164.008826 | IL | |
| Registered Dietitian | 133V00000X | 2022013309 | MO | |
| Registered Dietitian | 133V00000X | 1632 | NE | |
| Registered Dietitian | 133V00000X | 3861 | WI | |
| Registered Dietitian | 133V00000X | 112011 | IA | |
| Registered Dietitian | 133V00000X | 0836 | SD | |
| Registered Dietitian | 133V00000X | 2718 | KS | |
| Registered Dietitian | 133V00000X | MN | ||
| Registered Dietitian | 133V00000X | DT88512 | TX | Primary |
Addresses
Primary practice location
1733 Orchard Dr
Woodbury, MN 55125-8647
Mailing address
1733 Orchard Dr
Woodbury, MN 55125-8647
Phone (612) 499-6015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3724 Jefferson St
Suite 104
Austin, TX 78731-6204
Phone (512) 693-7045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1632 | NE | MD | Mental Health Counselor |
| 3861 | WI | MD | General Practice Dentistry |
| 112011 | IA | MD | Registered Dietitian |
| 164.008826 | IL | MD | Registered Dietitian |
| 2718 | KS | MD | Registered Dietitian |
| 4110 | MN | MD | Registered Dietitian |
| 2022013309 | MO | MD | Registered Dietitian |
| 0836 | SD | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
515 S Flower St
#1015
Los Angeles, CA 90071
8605 Santa Monica Blvd
#320298
West Hollywood, CA 90069
260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870
401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940
3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727
525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
1806 Highway 35
Ste 203A
Oakhurst, NJ 07755
10260 SW Greenburg Rd
#4
Portland, OR 97223
Phone (513) 845-1656
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
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": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1750948535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1733 ORCHARD DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551258647",
"telephone_number": "612-499-6015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1733 ORCHARD DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551258647",
"telephone_number": "612-499-6015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "KRISTINA",
"credential": "RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "4110",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.008826",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2022013309",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "1632",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "3861",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "112011",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SD",
"license": "0836",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "2718",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT88512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.