Kandon Lee Lewis, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86253288 Issued in MT

Practice address

3404 Cooney Dr Ste 108
Helena, MT 59602-0215

Phone

(406) 952-3772

Fax

(406) 315-6686

NPI assigned

Aug 18, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Wild & Rooted Nutrition Co. LLC

  • Registered Dietitian
  • Helena, MT
  • NPI 1003635756

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1871211656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 COONEY DR STE 108",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020215",
            "telephone_number": "406-600-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 COONEY DR STE 108",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020215",
            "telephone_number": "406-952-3772",
            "fax_number": "406-315-6686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1511 E Broadway St",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596015234",
            "country_code": "US",
            "telephone_number": "406-600-2259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KANDON",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MT",
            "license": "86253288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi B Levin, MSW, LCSW
• Lewis & Clark City-County Health Department
• Lewis and Clark Emergency Physicians P C
• Charlene Ann Lewis, APRN, FNP-BC
• Guthrie Lewis, PA-C
• Megan Elizabeth Lewis, MS
• LHCG Clxxxii, LLC
• LHCG Clxxxiii LLC
• Joshua Earl Lider, DO
• Life Houses, Inc.

• Registered Dietitian in Helena, MT
• Providers in Helena, MT by specialty
• Registered Dietitian in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.