Active NPI
Hannah Lynn Pullen, RDN, LD
- Registered Dietitian
- Eden Prairie, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5402
- Practice address
- 6385 Old Shady Oak Rd Ste 250
Eden Prairie, MN 55344-7705 - Phone
- (612) 638-2778
- NPI assigned
- Sep 6, 2024
- 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 | 5402 | MN | Primary |
Addresses
Primary practice location
6385 Old Shady Oak Rd Ste 250
Eden Prairie, MN 55344-7705
Mailing address
6385 Old Shady Oak Rd Ste 250
Eden Prairie, MN 55344-7705
Phone (612) 638-2778
Other names 1
- Hannah Lynn Ennis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6385 Old Shady Oak Rd
Suite 250
Eden Prairie, MN 55344-0029
6385 Old Shady Oak Rd
Suite 250
Eden Prairie, MN 55344-7705
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5402 | MN | MD | Physical Therapist |
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
11670 Fountains Dr N
Ste 200
Maple Grove, MN 55369
Phone (612) 355-0693
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": "1725580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1780419853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6385 OLD SHADY OAK RD STE 250",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553447705",
"telephone_number": "612-638-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6385 OLD SHADY OAK RD STE 250",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553447705",
"telephone_number": "612-638-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULLEN",
"first_name": "HANNAH",
"middle_name": "LYNN",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-06",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "5402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "ENNIS",
"middle_name": "LYNN",
"credential": "RDN, MS",
"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 Feb 16, 2026; 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.