MEDICARE: LOUANNE P. KAUPA RDN, LN, CDCES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	N122	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	136634	OTHER	MN	UCARE
2	000000	OTHER	MN	SOUTH COUNTRY HEALTH ALLIANCE
3	759485000	OTHER	MN	MINNESOTA HEALTH CARE PROGRAMS
4	000000	OTHER	MN	MMSI
5	63-50011	OTHER	MN	MEDICA
6	118175	OTHER	MN	HEALTHPARTNERS
7	342G5EA	OTHER	MN	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1932197225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUANNE P. KAUPA RDN, LN, CDCES

Provider Business Mailing Address
First Line	:	PO BOX 913
Second Line	:
City	:	OWATONNA
State	:	MN
Zip	:	55060-0913
Country	:	US
Telephone Number	:	507-390-0229
Fax Number	:	507-451-3322

Provider Business Practice Location Address
First Line	:	207 W HOLLY ST STE B
Second Line	:
City	:	OWATONNA
State	:	MN
Zip	:	55060-3960
Country	:	US
Telephone Number	:	507-390-0229
Fax Number	:	507-451-3322

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	02/17/2026

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