1. Home
  2. Directory
  3. Minnesota
  4. St Louis Park
  5. Dietitian Registered
  6. NPI Profile

BETTEJANE KREMEN GOLDMAN M.S., R.D., L.D.
NPI 1528211836
Dietitian, Registered in St Louis Park, MN

Active since October 30, 2008
4330 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416(952) 381-3434(952) 377-1430 Get Directions Write a Review

NPPES record last updated: October 30, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bettejane Kremen Goldman M.s., R.d., L.d. NPPES

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

BETTEJANE KREMEN GOLDMAN M.S., R.D., L.D. (NPI 1528211836) is an individual dietitian, registered in St Louis Park, Minnesota, licensed in Minnesota (23317) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1528211836
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameBETTEJANE KREMEN GOLDMANCredential: M.S., R.D., L.D.
Location Address4330 CEDAR LAKE RD SSt Louis Park, MN 55416-3700
Mailing Address2641 Natchez Ave SSt Louis Park, MN 55416-3946 · (952) 922-8865
Phone(952) 381-3434
Fax(952) 377-1430
Sole ProprietorYes
Enumeration DateOctober 30, 2008
✔ NPI 1528211836 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 · 23317
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.
4330 CEDAR LAKE RD S, St Louis Park, MN 55416
Open in Google Maps ↗

Other Identifiers 2

Other535932MN · Registered Dietition
Other23317MN · Board Of Dietetics And Nutrition License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bettejane Kremen Goldman M.s., R.d., L.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Bettejane Goldman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Life Medical, P.A.
2.0 mi
Multi-Specialty
4201 EXCELSIOR BLVD
Saint Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Life Medical PA
  • 16 clinicians in this Medicare group
NPI 1740222496 (952) 933-1121
Minnesota Medical And Rehabilitative Services, LLC
2.0 mi
Physical Therapist
4201 EXCELSIOR BLVD
St. Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 17 clinicians in this Medicare group
NPI 1154302545 (952) 564-3880

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 12

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

MRS. TAKAKO FUKUDA TRUSKINOVSKY SLP
Speech-Language Pathologist
4330 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
Hennepin County (952) 381-3434
SANDRA LEE HEPP P.T.
Physical Therapist
4330 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
Hennepin County (952) 381-3434
DONNA DENISE SANDBERG L.AC
Acupuncturist
4330 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
Hennepin County (612) 250-9261
MRS. MIRA BETH MERRIMAN MA CCC-SLP
Speech-Language Pathologist
4330 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
Hennepin County (952) 381-3434
BARBARA RUEDY MCGLYNN P.T.
Physical Therapist
4330 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
Hennepin County (952) 381-3434
MS. PAMELA LYNN MORK PTA
Physical Therapy Assistant
4330 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
Hennepin County (952) 381-3434
RAISA GRINGAUZ M.D.
Physical Medicine & Rehabilitation
4330 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
Hennepin County (952) 381-3434
FEEL THE WATER INC
Respite Care (Respite Care, Intellectual and/or Developmental Disabilities)
4330 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
Hennepin County (612) 708-8733

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 Bettejane Goldman's NPI number?

The NPI number for Bettejane Goldman is 1528211836. It was assigned to this individual provider in the NPPES registry on October 30, 2008.

Where is Bettejane Goldman located?

Bettejane Goldman practices at 4330 Cedar Lake Rd S, St Louis Park, MN 55416. The listed phone number is (952) 381-3434.

What is Bettejane Goldman's specialty?

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

Is Bettejane Goldman enrolled in Medicare?

Yes. Bettejane Goldman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bettejane Goldman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bettejane Goldman reassigns Medicare benefits to 2 organizations: Life Medical, P.A. (Saint Louis Park, MN) and Minnesota Medical And Rehabilitative Services, LLC (St. Louis Park, MN). Each 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 Bettejane Goldman'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 Bettejane Goldman was last updated on October 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.