Kathryn C Jenewein, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1087 Issued in MN

Practice address

6625 Lyndale Ave S Ste 105
Richfield, MN 55423-2673

Phone

(612) 788-8778

NPI assigned

Apr 13, 2012

Last updated

Nov 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Active Feet , Foot & Ankle Health Center

  dba Midwest Podiatry Centers

  • Primary Podiatric Medicine Podiatrist
  • Minneapolis, MN
  • NPI 1689848392

  Foot & Ankle Surgery

  Medicare reassignment NPD
• Fairview Clinics

  dba Fairview Clinics-Hiawatha

  • Primary Care Clinic/Center
  • Minneapolis, MN
  • NPI 1346432218
  Medicare reassignment NPD
• Fairview Express Care

  dba M Health Fairview Recovery Clinic

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1053952606
  Medicare reassignment NPD
• Healtheast St. John's Hospital

  dba Fairview St John's Hospital

  • General Acute Care Hospital
  • Maplewood, MN
  • NPI 1447218482
  Medicare reassignment NPD
• Healtheast Woodwinds Hospital

  dba Fairview Woodwinds Hospital

  • General Acute Care Hospital
  • Woodbury, MN
  • NPI 1356309322
  Medicare reassignment NPD
• Fairview Health Services

  • Emergency Medicine Physician
  • Minneapolis, MN
  • NPI 1811077175
  Medicare reassignment
• Active Feet, Foot & Ankle Health Center

  dba Midwest Podiatry Center St. Anthony

  • Foot & Ankle Surgery Podiatrist
  • Minneapolis, MN
  • NPI 1164716387
  NPD
• Fairview Clinics

  dba Fairview Clinics-Highland Park

  • Primary Care Clinic/Center
  • Saint Paul, MN
  • NPI 1326230293
  NPD
• Fairview Clinics

  • Primary Care Clinic/Center
  • Saint Paul, MN
  • NPI 1396552147
  NPD
• Fairview Express Care

  dba Fairview Brooklyn Park Clinic (Eyewear)

  • Eyewear Supplier
  • Brooklyn Park, MN
  • NPI 1528241718
  NPD
• Fairview Express Care

  dba M Health Fairview Sleep Center - Southdale

  • Family Medicine Physician
  • Edina, MN
  • NPI 1538542204
  NPD
• Fairview Express Care

  • General Practice Physician
  • Edina, MN
  • NPI 1831707207
  NPD

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1073870192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541450",
            "telephone_number": "612-672-7510",
            "fax_number": "612-672-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 LYNDALE AVE S STE 105",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232673",
            "telephone_number": "612-788-8778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6341 University Ave NE",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554324946",
            "country_code": "US",
            "telephone_number": "763-586-5844",
            "fax_number": "763-586-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENEWEIN",
        "first_name": "KATHRYN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-13",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP174124",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "1087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ubah Adan Jama
• Janet G. Overman, Licsw
• Janice O. Frederick, D.D.S.,P.a.
• Vincent Jigbeh Jaryan, CNP
• Jeffrey E Oneil DDS PA
• Jennifer Pearson LMFT
• Lisa Dickey Cashin Jernell, DDS
• Fawn Jes
• Amanda Maria Jimenez
• Parvathi Jithendranathan, DDS

• Foot & Ankle Surgery Podiatrist in Richfield, MN
• Providers in Richfield, MN by specialty
• Foot & Ankle Surgery Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.