KRISTINE BORYS RD
NPI 1497236061
Dietitian, Registered in St Louis Park, MN

Active since August 22, 2018Opted out of Medicare · through Oct 11, 2026
3912 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416(952) 835-4512 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristine Borys Rd NPPES

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

KRISTINE BORYS RD (NPI 1497236061) is an individual dietitian, registered in St Louis Park, Minnesota and active in the NPI registry since August 2018. She has opted out of Medicare through October 11, 2026.

NPPES Registry Identity

NPI1497236061
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKRISTINE BORYSCredential: RD
Location Address3912 EXCELSIOR BLVDSt Louis Park, MN 55416-4709
Mailing Address1769 Lexington Ave N # 286Roseville, MN 55113-6522 · (952) 835-4512
Sole ProprietorNo
Enumeration DateAugust 22, 2018
NPI 1497236061 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.
3912 EXCELSIOR BLVD, St Louis Park, MN 55416

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kristine Borys Rd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 11, 2018 through October 11, 2026.

Opt-Out Effective DateOctober 11, 2018
Opt-Out In Effect ThroughOctober 11, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 16

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

Physical Therapist
3912 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Physical Therapist
3912 EXCELSIOR BLVD
SAINT LOUIS PARK, MN 55416
Physical Therapist
3912 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Physical Therapist
3912 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Physical Therapist
3912 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Physical Therapist
3912 EXCELSIOR BLVD
ST.LOUIS PARK, MN 55416
Physical Therapist
3912 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Physical Therapist
3912 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416

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 Kristine Borys's NPI number?

The NPI number for Kristine Borys is 1497236061. It was assigned to this individual provider in the NPPES registry on August 22, 2018.

Where is Kristine Borys located?

Kristine Borys practices at 3912 Excelsior Blvd, St Louis Park, MN 55416. The listed phone number is (952) 835-4512.

What is Kristine Borys's specialty?

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

Is Kristine Borys enrolled in Medicare?

No. Kristine Borys has opted out of Medicare through October 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kristine Borys was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.