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CAROLYN ANDERSON RD
NPI 1356762033
Dietitian, Registered in Saint Paul, MN

Active since December 23, 2013
2200 UNIVERSITY AVE W STE 120, SAINT PAUL, MN 55114(612) 870-5557(612) 870-5491 Get Directions Write a Review

NPPES record last updated: March 7, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carolyn Anderson Rd NPPES

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

CAROLYN ANDERSON RD (NPI 1356762033) is an individual dietitian, registered in Saint Paul, Minnesota, licensed in Minnesota (3178) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1356762033
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameCAROLYN ANDERSONCredential: RD
Location Address2200 UNIVERSITY AVE W STE 120Saint Paul, MN 55114-1844
Mailing AddressPo Box 14909Minneapolis, MN 55414-0909 · (612) 871-1145 · Fax (612) 870-5491
Phone(612) 870-5557
Fax(612) 870-5491
Sole ProprietorNo
Enumeration DateDecember 23, 2013
Last NPPES UpdateMarch 7, 2016
✔ NPI 1356762033 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 · 3178
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.
2200 UNIVERSITY AVE W STE 120, Saint Paul, MN 55114
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Other Names 1

Former Name (1)Carolyn Reiner Rd

Other Identifiers 1

Other3178MN · Mn Borad Of Dietetics And Nutrition Practice

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn Anderson Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Carolyn Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mngi Digestive Health, P.A.
3.0 mi
Gastroenterology
3001 BROADWAY ST NE STE 500
Minneapolis, MN 55413
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Mngi Digestive Health PA
  • 322 clinicians in this Medicare group
NPI 1609804541 (612) 871-1145

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

Other Providers at the Same Location NPPES

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

DR. EMILY NELSON KEVAN MD
Pediatrics (Pediatric Gastroenterology)
2200 UNIVERSITY AVE W STE 120
SAINT PAUL, MN 55114
Ramsey County (612) 871-1145

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 Carolyn Anderson's NPI number?

The NPI number for Carolyn Anderson is 1356762033. It was assigned to this individual provider in the NPPES registry on December 23, 2013. The provider is also known as Carolyn Reiner Rd.

Where is Carolyn Anderson located?

Carolyn Anderson practices at 2200 University Ave W Ste 120, Saint Paul, MN 55114. The listed phone number is (612) 870-5557.

What is Carolyn Anderson's specialty?

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

Is Carolyn Anderson enrolled in Medicare?

Yes. Carolyn Anderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carolyn Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Anderson reassigns Medicare benefits to Mngi Digestive Health, P.A. (Minneapolis, MN). The 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 Carolyn Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carolyn Anderson was last updated on March 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.