Active NPI
Kay M. Guidarelli, RD, LD
- Registered Dietitian
- St. Louis Park, MN
National Provider Identifier
1760604607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1618
- Practice address
- 5009 Excelsior Boulevard
Suite 112
St. Louis Park, MN 55416 - Phone
- (952) 937-2482
- NPI assigned
- May 2, 2007
- 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 | 1618 | MN | Primary |
Addresses
Primary practice location
5009 Excelsior Boulevard
Suite 112
St. Louis Park, MN 55416
Mailing address
7136 Muirfield Lane
Eden Prairie, MN 55346
Phone (952) 937-8607
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1618 | MN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760604607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7136 MUIRFIELD LANE",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "55346",
"telephone_number": "952-937-8607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5009 EXCELSIOR BOULEVARD",
"address_2": "SUITE 112",
"city": "ST. LOUIS PARK",
"state": "MN",
"postal_code": "55416",
"telephone_number": "952-937-2482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDARELLI",
"first_name": "KAY",
"middle_name": "M.",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "1618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.