STEPHANIE LANE FENNESSEY MS, RD, LD, CDE
NPI 1033374178
Dietitian, Registered in Coon Rapids, MN

Q: What is Stephanie Fennessey's NPI number?

The NPI number for Stephanie Fennessey is 1033374178. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Q: What is Stephanie Fennessey's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since July 28, 2008

9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433(763) 780-9155(763) 236-1066 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stephanie Lane Fennessey Ms, Rd, Ld, Cde NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE LANE FENNESSEY MS, RD, LD, CDE (NPI 1033374178) is an individual dietitian, registered in Coon Rapids, Minnesota, licensed in Minnesota (2712) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1033374178

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSTEPHANIE LANE FENNESSEYCredential: MS, RD, LD, CDE

Location Address9055 SPRINGBROOK DR NWCoon Rapids, MN 55433-5841

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000

Phone(763) 780-9155

Fax(763) 236-1066

Sole ProprietorNo

Enumeration DateJuly 28, 2008

Last NPPES UpdateFebruary 28, 2022

NPPES CertifiedFebruary 28, 2022

✔ NPI 1033374178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in MN · 2712

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

9055 SPRINGBROOK DR NW, Coon Rapids, MN 55433

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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