Stephanie Lane Fennessey, MS, RD, LD, CDE
NPI 1033374178ActiveIndividual· Dietitian, Registered· Coon Rapids, MN
Dietitian, Registered (MS, RD, LD, CDE) in Coon Rapids, Minnesota, licensed in MN, with an NPI issued in July 2008.
Overview
| NPI | 1033374178 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RD, LD, CDE |
| Sole proprietor | No |
| NPI issued | Jul 28, 2008 |
| Last updated in NPPES | Feb 28, 2022 |
| Certified by provider | Feb 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 2712 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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