KAYCIE ROSE NUTRITION LLC
NPI 1205300902
Dietitian, Registered in St Anthony, MN

Q: What is Kaycie Rose Nutrition LLC's NPI number?

The NPI number for Kaycie Rose Nutrition LLC is 1205300902. It was assigned to this organization in the NPPES registry on January 15, 2019.

Q: What is Kaycie Rose Nutrition LLC's specialty?

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

Active since January 15, 2019

2855 ANTHONY LN S STE 125, ST ANTHONY, MN 55418(612) 360-6225(888) 509-6038 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kaycie Rose Nutrition Llc NPPES

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

KAYCIE ROSE NUTRITION LLC (NPI 1205300902) is a healthcare organization registered as a dietitian, registered in St Anthony, Minnesota and active in the NPI registry since January 2019. The organization lists Kaycie Lindeman, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1205300902

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameKAYCIE ROSE NUTRITION LLC

Location Address2855 ANTHONY LN S STE 125St Anthony, MN 55418-3265

Mailing Address391 Grand Ave Apt 302Saint Paul, MN 55102-2630 · (612) 360-6225

Phone(612) 360-6225

Fax(888) 509-6038

Organization SubpartNo

Authorized OfficialKaycie LindemanRegistered Dietitian · (612) 360-6225

Enumeration DateJanuary 15, 2019

Last NPPES UpdateAugust 2, 2023

NPPES CertifiedAugust 2, 2023

✔ NPI 1205300902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

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.

2855 ANTHONY LN S STE 125, St Anthony, MN 55418

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaycie Rose Nutrition Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kaycie Rose Nutrition LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kaycie Lindeman, RDN, LD

Registered Dietitian or Nutrition Professional

NPI 1215325402

2855 ANTHONY LN S STE 125
St Anthony, MN 55418

(612) 360-6225

Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kaycie Rose Nutrition LLC's NPI number?

The NPI number for Kaycie Rose Nutrition LLC is 1205300902. It was assigned to this organization in the NPPES registry on January 15, 2019.

Where is Kaycie Rose Nutrition LLC located?

Kaycie Rose Nutrition LLC is located at 2855 Anthony Ln S Ste 125, St Anthony, MN 55418. The listed phone number is (612) 360-6225.

What is Kaycie Rose Nutrition LLC's specialty?

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

Is Kaycie Rose Nutrition LLC enrolled in Medicare?

Yes. Kaycie Rose Nutrition LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kaycie Rose Nutrition LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Kaycie Rose Nutrition LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kaycie Rose Nutrition LLC was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.