Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003237736 Individual Practitioner Male Practitioner

Brad Kittelson , LRD

Dietitian, Registered • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Brad Kittelson, LRD is a registered healthcare professional specializing in Dietitian, Registered in Fargo, ND. Practice services are available at 1720 UNIVERSITY DR S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1720 University Dr S

Fargo, ND 581034940

Telephone 7012804474
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 17.6 Yrs
Regional Practice Density
133 Specialists

Practicing in Fargo, ND (311 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License ND 397

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
56318 (ND)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Laurie Somerville , PA

Physician Assistant

NPI 1003913898

Physician Assistant

Dr. Jason Erpelding , MD

Orthopaedic Surgery - Hand Surgery

NPI 1013131325

Doctor of Medicine (M.D.)

Dr. Brandon Fisher , MD

Orthopaedic Surgery

NPI 1013400605

Doctor of Medicine (M.D.)

Lisa Mastel , LPC

Counselor - Professional

NPI 1013934652

Licensed Professional Counselor

Marie Brekken , PA-C

Physician Assistant

NPI 1023035029

Physician Assistant (Certified)

Phillip Dewey , PA

Physician Assistant

NPI 1033445093

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 25, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2014

Registered at 1720 UNIVERSITY DR S, FARGO, ND 581034940 (Tel: 7012804474)

📍
Updated Business Mailing Address March 25, 2014

Registered at PO BOX 2168, FARGO, ND 581072168 (Tel: 7012342119)

👤
Provider Name / Credentials Updated March 25, 2014

Recorded as BRAD KITTELSON, LRD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2014

Dietitian, Registered (License #397 in ND)

🟢
Initial NPI Registration & Enumeration December 24, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003237736
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 24, 2013
Last Update: March 25, 2014
Sole Proprietor: No

Mailing Address

Po Box 2168

Fargo, ND 581072168

Phone: 7012342119

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.