Konnie Luczak, RD, LD
NPI 1114359205 · Registered Dietitian · Woodbury, MN
Enrolled with Medicare as Practitioner - Registered Dietitian Or Nutrition Professional · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Konnie Luczak, RD, LD is a Registered Dietitian provider in Woodbury, MN (NPI 1114359205).
Provider details
- NPI number
- 1114359205
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LD
- Sex
- Female
- Sole proprietor
- No
- License
- 3245 (MN)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-07-31
- Last updated
- 2022-04-05
- Certified
- 2022-04-05
Frequently asked questions
- What is Konnie Luczak's NPI number?
- Konnie Luczak's National Provider Identifier (NPI) is 1114359205, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Konnie Luczak's specialty?
- Konnie Luczak is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Konnie Luczak located?
- Konnie Luczak's practice location on file with NPPES is 237 Radio Dr Ste 210, Woodbury, MN 55125-4478.
- What is Konnie Luczak's phone number?
- The practice phone number listed in the NPPES registry for Konnie Luczak is (612) 871-1145.
- Does Konnie Luczak accept Medicare?
- Konnie Luczak is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Konnie Luczak's NPI active?
- Yes — Konnie Luczak's NPI (1114359205) is active in the NPPES registry as of the last update on 2022-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.