KENDRA JO KISNER MS, RDN, LRD
NPI 1376408104
Dietitian, Registered in Fargo, ND

Q: What is Kendra Kisner's NPI number?

The NPI number for Kendra Kisner is 1376408104. It was assigned to this individual provider in the NPPES registry on December 23, 2025.

Q: What is Kendra Kisner'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 Kendra Kisner was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 December 23, 2025

1717 UNIVERSITY DR S, FARGO, ND 58103(701) 234-4111 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2025, Dec 23, 2025 (2 updates tracked since 2025).

On this page

About Kendra Jo Kisner Ms, Rdn, Lrd NPPES

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

KENDRA JO KISNER MS, RDN, LRD (NPI 1376408104) is an individual dietitian, registered in Fargo, North Dakota, licensed in North Dakota (1693) and active in the NPI registry since December 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1376408104

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameKENDRA JO KISNERCredential: MS, RDN, LRD

Location Address1717 UNIVERSITY DR SFargo, ND 58103-4939

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(701) 234-4111

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 23, 2025

Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration

NPPES CertifiedDecember 30, 2025

✔ NPI 1376408104 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 ND · 1693

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.

1717 UNIVERSITY DR S, Fargo, ND 58103

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra Jo Kisner Ms, Rdn, Lrd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537645510

PECOS Enrollment IDI20260108004093

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.

KATHRYN OLSON FNP

Nurse Practitioner (Family)