Jennifer K. Pederson, RDN, LD, CDCES
NPI 1710929880ActiveIndividual· Dietitian, Registered· Chaska, MN
Dietitian, Registered (RDN, LD, CDCES) in Chaska, Minnesota, licensed in MN, with an NPI issued in June 2006. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1710929880 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RDN, LD, CDCES |
| Sole proprietor | No |
| NPI issued | Jun 12, 2006 |
| Last updated in NPPES | Oct 14, 2024 |
| Certified by provider | Oct 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 1269 | 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) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (MN) |
|---|
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