Individual provider Active NPI

Katherine Elizabeth Leither, D.C.

  • Chiropractor
  • Saint Cloud, MN
National Provider Identifier
1073817169
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5463 Issued in MN
Practice address
203 Park Ave S
Saint Cloud, MN 56301-3779
Phone
(320) 253-5650
Fax
(320) 253-9222
NPI assigned
Jan 4, 2011
Last updated
May 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR-6633 CO
Chiropractor 111N00000X 5463 MN Primary
Acupuncturist 171100000X 922 MN

Addresses

Primary practice location

203 Park Ave S
Saint Cloud, MN 56301-3779

Mailing address

203 Park Ave S
Saint Cloud, MN 56301-3779
Phone (320) 253-5650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120618000699 MN Practitioner - Chiropractic 3870770308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minser Chiropractic Clinic, P.a., Inc.Group PAC ID 4486552544, 5 clinicians

Practice addresses (Care Compare)

203 Park Ave S
Suite 101
Saint Cloud, MN 56301-6146
Phone (320) 253-5650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5463MNMDMental Health Counselor
CHR-6633COMDChiropractor
922MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Minser Chiropractic Clinic, P.a., Inc. Chiropractor CurrentSince May 14, 2012 Accepting new patients
Osgood Family Chiropractic LLC Chiropractor Past Accepting new patients

Locations

203 Park Ave S
Ste 101
Saint Cloud, MN 56301
Phone (320) 253-5650

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1073817169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 PARK AVE S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013779",
            "telephone_number": "320-253-5650",
            "fax_number": "320-253-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 PARK AVE S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013779",
            "telephone_number": "320-253-5650",
            "fax_number": "320-253-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITHER",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR-6633",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5463",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.