Bronwyn Lissa Knaebe, RD

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

3968 Issued in MN

Practice address

1185 Town Centre Dr Ste 220
Eagan, MN 55123-1186

Phone

(651) 379-1600

NPI assigned

Apr 2, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minnesota Center for Obesity Metabolism and Endocrinology PAGroup PAC ID 3971496761, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Minnesota Center for Obesity, Metabolism & Endocrinology, PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Eagan, MN
  • NPI 1164477709
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1821594656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 TOWN CENTRE DR STE 220",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231186",
            "telephone_number": "651-379-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 TOWN CENTRE DR STE 220",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231186",
            "telephone_number": "651-379-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAEBE",
        "first_name": "BRONWYN",
        "middle_name": "LISSA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MN",
            "license": "3968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Lynn Kirksey, FNP
• Melissa Kizilos, MD
• McKenna Marie Klein, RBT
• Erin Kleiner
• Mikhail Anthony Klimstra, MD
• Kneewell LLC
• Denise Renee Kniefel, O.D.
• Michelle L Knight, MD
• Dave Kocer, MPT
• Jessica Koehler

• Metabolic Nutrition Registered Dietitian in Eagan, MN
• Providers in Eagan, MN by specialty
• Metabolic Nutrition Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.