Individual provider Active NPI

Mackenzie Ochs

  • Registered Dietitian
  • Winsted, MN
National Provider Identifier
1780435172
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4490 Issued in MN
Practice address
479 Lake Dr
Winsted, MN 55395-7860
Phone
(612) 360-4210
NPI assigned
Apr 1, 2024
Reactivated
Jan 14, 2025
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2018
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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251007002601 MN Practitioner - Registered Dietitian Or Nutrition Professional 3072010081 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4490MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Necessary Nutrition LLC Dietitian, Registered CurrentSince Sep 10, 2025 Accepting new patients

Locations

6385 Old Shady Oak Rd
Ste 250
Eden Prairie, MN 55344
Phone (612) 226-0907

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 4490 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

479 Lake Dr
Winsted, MN 55395-7860

Mailing address

479 Lake Dr
Winsted, MN 55395-7860

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2025.

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1780435172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 LAKE DR",
            "city": "WINSTED",
            "state": "MN",
            "postal_code": "553957860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 LAKE DR",
            "city": "WINSTED",
            "state": "MN",
            "postal_code": "553957860",
            "telephone_number": "612-360-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHS",
        "first_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2025-01-14",
        "certification_date": "2024-04-01",
        "deactivation_date": "2024-06-04",
        "reactivation_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "4490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winsted, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.

Verify at the official NPI Registry.