Individual provider Active NPI

Katelyn Hoerr, RDN, LD

  • Registered Dietitian
  • Minneapolis, MN
National Provider Identifier
1922826940
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
5386 Issued in MN
Practice address
3808 Nicollet Ave
Minneapolis, MN 55409-1304
Phone
(612) 822-7946
Fax
(612) 822-9668
NPI assigned
Sep 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 5386 MN Primary

Addresses

Primary practice location

3808 Nicollet Ave
Minneapolis, MN 55409-1304

Mailing address

1680 Randolph Ave Apt 3
Saint Paul, MN 55105-2161
Phone (612) 396-5508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Aliveness Project, Inc. CurrentSince Oct 6, 2024 Accepting new patients
The Aliveness Project, Inc. CurrentSince Oct 6, 2024 Accepting new patients

Locations

3808 Nicollet Ave
Minneapolis, MN 55409
Phone (612) 822-7946

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1922826940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 RANDOLPH AVE APT 3",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052161",
            "telephone_number": "612-396-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091304",
            "telephone_number": "612-822-7946",
            "fax_number": "612-822-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOERR",
        "first_name": "KATELYN",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "5386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.