Active NPI
Kristen Maureen Leinheiser, RD
- Registered Dietitian
- Glen Allen, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 5230 Hickory Park Dr Ste a
Glen Allen, VA 23059-2628 - Phone
- (804) 592-0095
- Fax
- (804) 655-6183
- NPI assigned
- May 20, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
5230 Hickory Park Dr Ste a
Glen Allen, VA 23059-2628
Mailing address
250 Wylderose CMNS Ste 200
Midlothian, VA 23113-6918
Other practice location 1
250 Wylderose Cmns Ste 200
Midlothian, VA 23113-6918
Phone (843) 693-2360
Other practice location 2
8006 Discovery Dr Ste 400
Henrico, VA 23229-8600
Phone (804) 592-0095
Other practice location 3
7300 Ashlake Pkwy Ste 200
Chesterfield, VA 23832-2827
Phone (804) 592-0095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5230 Hickory Park Dr
Suite a
Glen Allen, VA 23059-2628
Phone (804) 592-0095
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish2Flourishrva LLC | Dietitian, Registered | Current | Accepting new patients |
| Vitalcare Family LLC | Past | Accepting new patients |
Locations
7300 Ashlake Pkwy
Ste 200
Chesterfield, VA 23832
Phone (804) 256-8282
4101 Cox Rd
Ste 200
Glen Allen, VA 23060
Phone (804) 592-0095
5230 Hickory Park Dr
Ste A
Glen Allen, VA 23059
Phone (804) 322-9955
250 Wylderose Commons
Ste 200
Midlothian, VA 23113
Phone (804) 592-0095
8006 Discovery Dr
Ste 400
Richmond, VA 23229
Phone (804) 256-8282
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCGCBD
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Chesterfield, VA
- NPI 1205337417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1093554214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 WYLDEROSE CMNS STE 200",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231136918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5230 HICKORY PARK DR STE A",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230592628",
"telephone_number": "804-592-0095",
"fax_number": "804-655-6183"
}
],
"practiceLocations": [
{
"address_1": "250 Wylderose Cmns Ste 200",
"address_purpose": "LOCATION",
"city": "Midlothian",
"state": "VA",
"postal_code": "231136918",
"country_code": "US",
"telephone_number": "843-693-2360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8006 Discovery Dr Ste 400",
"address_purpose": "LOCATION",
"city": "Henrico",
"state": "VA",
"postal_code": "232298600",
"country_code": "US",
"telephone_number": "804-592-0095",
"fax_number": "804-655-6183",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7300 Ashlake Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "VA",
"postal_code": "238322827",
"country_code": "US",
"telephone_number": "804-592-0095",
"fax_number": "804-655-6183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEINHEISER",
"first_name": "KRISTEN",
"middle_name": "MAUREEN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-20",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.