KELLY LYNN BACKEN RD
NPI 1215901731
Dietitian, Registered in Rochester, MN

Q: What is Kelly Backen's NPI number?

The NPI number for Kelly Backen is 1215901731. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Q: What is Kelly Backen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Backen was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 13, 2006

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Kelly Lynn Backen Rd NPPES

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

KELLY LYNN BACKEN RD (NPI 1215901731) is an individual dietitian, registered in Rochester, Minnesota, licensed in Minnesota (1483) and active in the NPI registry since February 2006. She is a graduate of Other (1988).

NPPES Registry Identity

NPI1215901731

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameKELLY LYNN BACKENCredential: RD

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateFebruary 13, 2006

Last NPPES UpdateFebruary 19, 2021

NPPES CertifiedFebruary 19, 2021

✔ NPI 1215901731 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 · 1483

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.

200 1ST ST SW, Rochester, MN 55905

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Other Identifiers 1

Medicaid742992100MN

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Lynn Backen Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012962327

PECOS Enrollment IDI20250822000099

Other Providers at the Same Location NPPES 20

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

EMILY LEASURE MD

Internal Medicine