Active NPI
Kelsea Rae Forrester, RD
- Registered Dietitian
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 3931 Louisiana Ave S
St Louis Park, MN 55426-5000 - Phone
- (952) 993-3230
- NPI assigned
- Nov 13, 2013
- Last updated
- Nov 14, 2018
- 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 | Primary |
Addresses
Primary practice location
3931 Louisiana Ave S
St Louis Park, MN 55426-5000
Mailing address
736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 562-7474
Other names 1
- Kelsea Gusk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, AZ, WI, DC
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1710 Keller Pkwy
Suite 6565
Keller, TX 76248-3749
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4051 | MN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Nicollet Clinic | Current | Accepting new patients | |
| Uhling Consulting, LLC | Dietitian, Registered | Current | Accepting new patients |
| Park Nicollet Clinic | Current | Accepting new patients |
Locations
20325 N 51st Ave
Ste 126
Glendale, AZ 85308
Phone (602) 341-5248
2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
3931 Louisiana Ave S
St Louis Park, MN 55426
Phone (952) 993-3230
Interoperability endpoints
- https://api.platform.athenahealth.com/19691/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
dba Season Health
- Registered Dietitian
- Irving, TX
- NPI 1649933565
AZ, DC, WI
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1063897593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1760812788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352907",
"telephone_number": "617-562-7474",
"fax_number": "617-779-6999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3931 LOUISIANA AVE S",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554265000",
"telephone_number": "952-993-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORRESTER",
"first_name": "KELSEA",
"middle_name": "RAE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-13",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEA",
"last_name": "GUSK",
"code": "1",
"type": "Former Name"
}
]
}
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 Nov 14, 2018; 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.