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KELLY J COUGHLIN
NPI 1124018676
Dietitian, Registered in Coon Rapids, MN

Active since October 26, 2005
3960 COON RAPIDS BLVD NW STE 220, COON RAPIDS, MN 55433(763) 236-8438 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly J Coughlin NPPES

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

KELLY J COUGHLIN (NPI 1124018676) is an individual dietitian, registered in Coon Rapids, Minnesota, licensed in Minnesota (1578) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1124018676
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELLY J COUGHLIN
Location Address3960 COON RAPIDS BLVD NW STE 220Coon Rapids, MN 55433-2589
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Phone(763) 236-8438
Sole ProprietorNo
Enumeration DateOctober 26, 2005
Last NPPES UpdateMay 30, 2024
NPPES CertifiedMay 30, 2024
✔ NPI 1124018676 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 · 1578
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.
3960 COON RAPIDS BLVD NW STE 220, 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 ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLINA HEALTH SYSTEM
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3960 COON RAPIDS BLVD NW STE 220
COON RAPIDS, MN 55433
Anoka County (763) 236-8438
MEGAN INGEBRETSON RD
Dietitian, Registered
3960 COON RAPIDS BLVD NW STE 220
COON RAPIDS, MN 55433
Anoka County (763) 236-8438
DR. RACHEL MARIE HOVDA DNP, FNP-C
Nurse Practitioner (Family)
3960 COON RAPIDS BLVD NW STE 220
COON RAPIDS, MN 55433
Anoka County (763) 236-8438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Coughlin's NPI number?

The NPI number for Kelly Coughlin is 1124018676. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Kelly Coughlin located?

Kelly Coughlin practices at 3960 Coon Rapids Blvd NW Ste 220, Coon Rapids, MN 55433. The listed phone number is (763) 236-8438.

What is Kelly Coughlin's specialty?

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

What insurance does Kelly Coughlin accept?

Health plans from Medica list Kelly Coughlin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Coughlin was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.