Active NPI
Katelyn Hlucny
- Registered Dietitian
- East Grand Forks, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 929 Central Ave NW
East Grand Forks, MN 56721-1917 - Phone
- (218) 773-6800
- NPI assigned
- Nov 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
929 Central Ave NW
East Grand Forks, MN 56721-1917
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585
Other practice location 1
1750 47th Ave S.
Grand Forks, ND 58201
Phone (701) 757-8700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | sanfordhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1293 | ND | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients |
Locations
929 Central Ave NW
East Grand Forks, MN 56721
Phone (218) 773-5932
4000 28th Ave S
Moorhead, MN 56560
Phone (701) 234-3200
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
1750 47th Ave S
Grand Forks, ND 58201
Phone (701) 757-8700
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
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.
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1932866191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "605-328-6585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 CENTRAL AVE NW",
"city": "EAST GRAND FORKS",
"state": "MN",
"postal_code": "567211917",
"telephone_number": "218-773-6800"
}
],
"practiceLocations": [
{
"address_1": "1750 47th Ave S.",
"address_purpose": "LOCATION",
"city": "Grand Forks",
"state": "ND",
"postal_code": "58201",
"country_code": "US",
"telephone_number": "701-757-8700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HLUCNY",
"first_name": "KATELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-23",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "sanfordhealth.org",
"affiliation": "N",
"address_1": "1750 47th Ave S.",
"city": "Grand Forks",
"state": "ND",
"country_code": "US",
"postal_code": "58201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in East Grand Forks, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.