| Kaycie Lindeman, RDN, LD | |
|
2855 Anthony Ln S Ste 125, St Anthony, MN 55418-3265 | |
| (612) 360-6225 | |
| (888) 509-6038 |
| Full Name | Kaycie Lindeman |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2855 Anthony Ln S Ste 125, St Anthony, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215325402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 3479 (Minnesota) | Primary |
| Provider Name | Fairview Health Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811077175 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Provider Name | Mngi Digestive Health PA |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609804541 PECOS PAC ID: 8123016557 Enrollment ID: O20040504001467 |
| Provider Name | Kaycie Rose Nutrition LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205300902 PECOS PAC ID: 7810472750 Enrollment ID: O20260330001657 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaycie Lindeman, RDN, LD 2519 Pierce St Ne, Minneapolis, MN 55418-3839 Ph: (612) 360-6225 | Kaycie Lindeman, RDN, LD 2855 Anthony Ln S Ste 125, St Anthony, MN 55418-3265 Ph: (612) 360-6225 |
Kaycie Rose Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 2855 Anthony Ln S Ste 125, St Anthony, MN 55418 Phone: 612-360-6225 Fax: 888-509-6038 |