Active NPI
Katherine Elizabeth Leither, D.C.
- Chiropractor
- Saint Cloud, MN
National Provider Identifier
1073817169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5463
- 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, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5463 | MN | MD | Mental Health Counselor |
| CHR-6633 | CO | MD | Chiropractor |
| 922 | MN | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minser Chiropractic Clinic, P.a., Inc. | Chiropractor | Current | 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.
-
- Chiropractor
- Saint Cloud, MN
- NPI 1992783997
-
dba Lighthouse Chiropractic
- Chiropractor
- Fort Collins, CO
- NPI 1982842043
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.