Individual provider Active NPI

Kristen Maureen Leinheiser, RD

  • Registered Dietitian
  • Glen Allen, VA
National Provider Identifier
1093554214
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20240809001090 VA Practitioner - Registered Dietitian Or Nutrition Professional 2567909450 Reassigns benefits to 1 organization

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
Nourish2Flourishrva LLCGroup PAC ID 6406162023, 4 clinicians

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

OrganizationSpecialtyStatusNew patients
Nourish2Flourishrva LLC Dietitian, Registered CurrentSince Jun 1, 2024 Accepting new patients
Vitalcare Family LLC PastSince Jan 13, 2021 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.