Nicole Benesh, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3590 Issued in MN

Practice address

420 Delaware St SE
Nutrition Services MMC 84
Minneapolis, MN 55455-0341

Phone

(612) 273-5590

NPI assigned

Sep 8, 2015

Last updated

Sep 8, 2016By the provider in NPPES

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

Other names 1

• Nicole Kirkvold Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1851769897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 ELMER ST APT 10",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551136969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST SE",
            "address_2": "NUTRITION SERVICES MMC 84",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550341",
            "telephone_number": "612-273-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENESH",
        "first_name": "NICOLE",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "3590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "KIRKVOLD",
            "credential": "RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany Bender, MD, MPH
• Jason Jose Bendezu, LP
• Alex Robert Bendickson, PA
• Kristen Anne Benedict, ACNP
• Lauren Kristine Benedict, PHARMD
• Benessere Body in Balance
• Jameleddine Benhamida
• Brian David Beniak, RN
• Larissa Beniak, LICSW
• Thomas Edward Beniak, PHD

• Registered Dietitian in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.