Active NPI
Haleigh Storkel, RD
- Registered Dietitian
- Saint Cloud, MN
National Provider Identifier
1144748765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86035177
- Practice address
- 1200 6TH Ave N
Saint Cloud, MN 56303 - Phone
- (320) 252-3342
- Fax
- (320) 252-3501
- NPI assigned
- Sep 4, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86035177 | WI | Primary |
| Registered Dietitian | 133V00000X | 4166 | MN |
Addresses
Primary practice location
1200 6TH Ave N
Saint Cloud, MN 56303
Mailing address
1200 6TH Ave N
Saint Cloud, MN 56303-2736
Phone (320) 252-3342
Other practice location 1
2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500
Other practice location 2
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
Other names 1
- Haleigh Flottmeyer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190619002661 | MN | Practitioner - Registered Dietitian Or Nutrition Professional | 8628344298 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86035177 | WI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1504483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556668800000",
"number": "1144748765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 6TH AVE N",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563032736",
"telephone_number": "320-252-3342",
"fax_number": "320-252-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 6TH AVE N",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "56303",
"telephone_number": "320-252-3342",
"fax_number": "320-252-3501"
}
],
"practiceLocations": [
{
"address_1": "2116 Craig Rd",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "54701",
"country_code": "US",
"telephone_number": "715-858-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 6th Ave N",
"address_purpose": "LOCATION",
"city": "Saint Cloud",
"state": "MN",
"postal_code": "56303",
"country_code": "US",
"telephone_number": "320-252-3342",
"fax_number": "320-252-3501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STORKEL",
"first_name": "HALEIGH",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-04",
"last_updated": "2019-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "86035177",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "4166",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HALEIGH",
"last_name": "FLOTTMEYER",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}
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 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.