Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376408104 Individual Practitioner Female Practitioner

Kendra Jo Kisner , MS, RDN, LRD

Dietitian, Registered • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Kendra Kisner, MS, RDN, LRD is a certified Dietitian, Registered practicing in Fargo, ND. With approximately 1 years of clinical experience since completing medical education in 2025, Kendra Kisner delivers high-quality medical care to the local community at 1717 UNIVERSITY DR S.

Kendra Kisner does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1717 University Dr S

Fargo, ND 581034939

Telephone 7012344111
Associated Practice Facility / Clinic
🏢 Sanford Medical Center Fargo Facility NPI 1689694317

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Fargo, ND

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -14.5 yrs vs City Avg
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

Clinical Seniority & Experience Comparison

Dr. Kisner (1 Years) 1 Yrs
Fargo Specialty Average (15.5 Years) 15.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-12-30
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License ND 1693

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.

Practice Associates & Co-Workers

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

11 Associated Practitioners
Kathryn Olson , FNP

Nurse Practitioner - Family

NPI 1023837861

Family Nurse Practitioner

Dr. Lorraine Swan-Kremeier , PsyD

Psychologist - Psychoanalysis

NPI 1093736217

Doctor of Psychology (Psy.D.)

NPI 1174229595

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Meredith Wagner , LRD

Dietitian, Registered

NPI 1417143959
Dr. Tricia Myers , PhD

Psychologist - Psychoanalysis

NPI 1528085065

Doctor of Philosophy (Ph.D.)

Leann Czapiewski , LRD

Dietitian, Registered

NPI 1598262545

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 30, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location December 30, 2025

Registered at 1717 UNIVERSITY DR S, FARGO, ND 581034939 (Tel: 7012344111)

📍
Updated Business Mailing Address December 30, 2025

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074

👤
Provider Name / Credentials Updated December 30, 2025

Recorded as KENDRA KISNER, MS, RDN, LRD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2025

Dietitian, Registered (License #1693 in ND)

🟢
Initial NPI Registration & Enumeration December 23, 2025

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: 1376408104
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 23, 2025
Last Update: December 30, 2025
Sole Proprietor: No

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

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.