KB Nutrition Counseling

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

KB NUTRITION COUNSELING

Practice address

2355 Highway 36 W Ste 400
Roseville, MN 55113-3905

Phone

(651) 395-7315

NPI assigned

Feb 29, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Kathryn Brandenburger, RDNNPI 1629761101

Title

Registered Dietitian Nutritionist

Phone

(651) 395-7315

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn Brandenburger, RDN

  • Registered Dietitian
  • Lino Lakes, MN
  • NPI 1629761101

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1902663511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 COUNTRY LAKES DR",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550145489",
            "telephone_number": "651-214-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 400",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-395-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB NUTRITION COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "BRANDENBURGER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "651-395-7315",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Konyi Karenget, RN
• Emily Kary
• Elliana Kastner
• Matthew Stuart Kaufenberg, PT
• Bryan Kavanaugh
• Douglas Kenneth Keim,, D.D.S.
• Charles E Kelly, MD
• Lori L Kelly, RN, CNP
• Laura Marie Kelzer, RN
• Robert Bach Kennedy, OD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.