ASHLEY KIDD (MS, RD, LD) – Registered Dietitian, NPI 1376995076

ASHLEY KIDD (MS, RD, LD) is a healthcare provider. based in Apple valley, Minnesota. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials MS, RD, LD. They hold a License No. 3306 (MN). The NPI Number for ASHLEY KIDD (MS, RD, LD) is 1376995076

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY KIDD (MS, RD, LD)
NPI
1376995076
Phone
Not provided
Address
14050 PILOT KNOB RD
Enumeration Date
6 July 2016
Last Update Date
5 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635440696
Graduation Year
2012 (14 years ago)
PAC ID
2062872260
Group Practice PAC ID
5092616029
Professional Enrollment ID
I20230719004347
Address ID
MN554302107BR6200XPKWY401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

277 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in MN

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Provider Addresses for ASHLEY KIDD (MS, RD, LD)

  • Speedway, 14050 - 14100, Pilot Knob Road, Apple Valley, Dakota County, Minnesota, 55124, United States

    APPLE VALLEY, MN 551246647

    Phone:

    Type: Mailing

  • 14050 Pilot Knob Rd

    Apple Valley, MN 551246647

    Phone: (952) 423-4062

    Type: Location

  • 8568 BRAXTON DR

    EDEN PRAIRIE, MN 553472278

    Phone: (178) 555-6032

    Type: Mailing

  • 2500 BLOOMINGTON AVE

    MINNEAPOLIS, MN 554043920

    Phone: (612) 540-7760

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230719004347IRegistered Dietitian Or Nutrition ProfessionalMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97802Therapy procedure for nutrition management, each 15 minutes9217$0
View full utilization report →

Insurance plans in this area (ZIP 55124)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092616029View full group profile
NameSpecialtyState
N E P H R O L O G YMN
Internal Medicine, NephrologyMN
Nurse PractitionerMN
Nephrology, Internal MedicineMN
Nurse PractitionerMN
Internal Medicine, NephrologyMN
-MN
Physician AssistantGUAM
-MN
-MN

Reviews

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Frequently asked questions

What is ASHLEY KIDD (MS, RD, LD)'s NPI number?
ASHLEY KIDD (MS, RD, LD)'s NPI is 1376995076 — the number used across U.S. healthcare to identify this provider.
Would ASHLEY KIDD (MS, RD, LD) appear as active to a payer?
You can treat ASHLEY KIDD (MS, RD, LD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is ASHLEY KIDD (MS, RD, LD)?
ASHLEY KIDD (MS, RD, LD) is associated with Registered Dietitian in the directory — Clinical services aligned with this taxonomy classification.
Is ASHLEY KIDD (MS, RD, LD) associated with Apple Valley?
Public fields place ASHLEY KIDD (MS, RD, LD) around Apple Valley, Minnesota. Always confirm the exact site before visiting.
Can I trust this NPI listing for ASHLEY KIDD (MS, RD, LD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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