KELLY J COUGHLIN
NPI 1124018676
Dietitian, Registered in Coon Rapids, MN

NPI Status: Active since October 26, 2005

Contact Information

3960 COON RAPIDS BLVD NW STE 220
COON RAPIDS, MN
ZIP 55433
Phone: (763) 236-8438

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  • Individual
  • Female
  • Dietitian, Registered
  • Accepts Insurance

About KELLY COUGHLIN

This page provides the complete NPI Profile along with additional information for Kelly Coughlin, a provider established in Coon Rapids, Minnesota with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1124018676 assigned on October 2005. The practitioner's primary taxonomy code is 133V00000X with license number 1578 (MN). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1124018676
Provider Name
KELLY J COUGHLIN
Gender
Female
Entity Type
Individual
Location Address
3960 COON RAPIDS BLVD NW STE 220 COON RAPIDS, MN 55433
Location Phone
(763) 236-8438
Mailing Address
2925 CHICAGO AVE MINNEAPOLIS, MN 55407
Mailing Phone
(612) 262-9000
Is Sole Proprietor?
No
Enumeration Date
10-26-2005
Last Update Date
05-30-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
1578
License State
MN
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Reviews for KELLY J COUGHLIN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124018676
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21440116614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 0 + 1 + 1 + 6 + 6 + 1 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1124018676 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447527767ALLINA HEALTH SYSTEM
Organization
Obstetrics & Gynecology (Maternal & Fetal Medicine)3960 COON RAPIDS BLVD NW STE 220
COON RAPIDS, MN 55433
(763) 236-8438
1689247660 MEGAN INGEBRETSON RD
Individual
Dietitian, Registered3960 COON RAPIDS BLVD NW STE 220
COON RAPIDS, MN 55433
(763) 236-8438
1861253627DR. RACHEL MARIE HOVDA DNP, FNP-C
Individual
Nurse Practitioner (Family)3960 COON RAPIDS BLVD NW STE 220
COON RAPIDS, MN 55433
(763) 236-8438

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124018676, enumerated in the NPI registry as an "individual" on October 26, 2005

The provider is located at 3960 Coon Rapids Blvd Nw Ste 220 Coon Rapids, Mn 55433 and the phone number is (763) 236-8438

The provider's speciality is Dietitian, Registered with taxonomy code 133V00000X

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 26, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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