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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MCKENZIE JO LUND RD, LD
NPI 1679119341
Dietitian, Registered in Eden Prairie, MN

Active since November 18, 2019
6385 OLD SHADY OAK RD STE 250, EDEN PRAIRIE, MN 55344(507) 320-4610(612) 206-8232 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 24, 2026, Nov 18, 2019 (2 updates tracked since 2019).

About Mckenzie Jo Lund Rd, Ld NPPES

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

MCKENZIE JO LUND RD, LD (NPI 1679119341) is an individual dietitian, registered in Eden Prairie, Minnesota, licensed in Minnesota (4235) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1679119341
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMCKENZIE JO LUNDCredential: RD, LD
Location Address6385 OLD SHADY OAK RD STE 250Eden Prairie, MN 55344-7705
Mailing Address6385 Old Shady Oak Rd Ste 250Eden Prairie, MN 55344-7705 · (507) 320-4610 · Fax (612) 206-8232
Phone(507) 320-4610
Fax(612) 206-8232
Sole ProprietorNo
Enumeration DateNovember 18, 2019
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1679119341 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 · 4235
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.
6385 OLD SHADY OAK RD STE 250, Eden Prairie, MN 55344
Open in Google Maps ↗

Other Names 1

Former Name (1)Mckenzie Young

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mckenzie Jo Lund Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

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

Necessary Nutrition LLC
Same address
Dietitian, Registered
6385 OLD SHADY OAK RD STE 250
Eden Prairie, MN 55344
  • Reassigned Medicare billing, Minnesota enrollment
  • 9 clinicians in this Medicare group
NPI 1952992984 (608) 792-2585
Emily Program P C
13 mi
Mental Health (Including Community Mental Health Center)
2265 COMO AVENUE, SUITE 100
St Paul, MN 55108
  • Reassigned Medicare billing, Minnesota enrollment
  • 121 clinicians in this Medicare group
NPI 1528165065 (866) 364-5977

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 20

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

AZAHAR AHMED
Behavior Technician
6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
Hennepin County (612) 394-4012
YAHYA ABDI AHMED
Behavior Technician
6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
Hennepin County (612) 394-4012
ABDIRAHMAN FARAH
Behavior Technician
6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
Hennepin County (612) 600-2198
TRANQUILITY MINNESOTA
Clinic/Center (Mental Health (Including Community Mental Health Center))
6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
Hennepin County (612) 404-9640
ABDI ADAN ALI
Counselor (Mental Health)
6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
Hennepin County (612) 226-0907
OAK SUPPORT SERVICES LLC
Clinic/Center
6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
Hennepin County (210) 810-5858
BEACON STARS, INC
Early Intervention Provider Agency
6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
Hennepin County (612) 483-9370
AMAL ABDULLAHI ABDULLE
Behavior Technician
6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
Hennepin County (612) 394-4012

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 Mckenzie Lund's NPI number?

The NPI number for Mckenzie Lund is 1679119341. It was assigned to this individual provider in the NPPES registry on November 18, 2019. The provider is also known as Mckenzie Young.

Where is Mckenzie Lund located?

Mckenzie Lund practices at 6385 Old Shady Oak Rd Ste 250, Eden Prairie, MN 55344. The listed phone number is (507) 320-4610.

What is Mckenzie Lund's specialty?

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

Is Mckenzie Lund enrolled in Medicare?

Yes. Mckenzie Lund is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mckenzie Lund's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mckenzie Lund reassigns Medicare benefits to 2 organizations: Necessary Nutrition LLC (Eden Prairie, MN) and Emily Program P C (St Paul, 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 Mckenzie Lund'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 Mckenzie Lund was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.