Individual provider Active NPI

Kaitlyn Leigh Laube Ward, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Maple Grove, MN
National Provider Identifier
1265844385
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1124 Issued in MN
Practice address
9825 Hospital Dr Ste 300
Maple Grove, MN 55369-4768
Phone
(763) 587-7900
Fax
(763) 494-7501
NPI assigned
May 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1124 MN Primary

Addresses

Primary practice location

9825 Hospital Dr Ste 300
Maple Grove, MN 55369-4768

Mailing address

9201 W Broadway Ave Ste 601
Brooklyn Park, MN 55445-1924
Phone (763) 587-7900

Other practice location 1

5109 36th Ave N
Crystal, MN 55422-2007
Phone (763) 587-7900

Other practice location 2

15655 37th Ave N Ste 100
Plymouth, MN 55446-4003
Phone (763) 587-7900

Other practice location 3

50 Central Ave
Osseo, MN 55369-1241
Phone (763) 587-7900

Other names 1

  • Kaitlyn Leigh Laube Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201023001866 FL Practitioner - Podiatry 1456646868 Reassigns benefits to 2 organizations
I20220915002695 MN Practitioner - Podiatry 1456646868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Clinic PAGroup PAC ID 2769384205, 50 clinicians

Practice addresses (Care Compare)

9825 Hospital Dr
Suite 300
Maple Grove, MN 55369-4768
Phone (763) 587-7900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue128
Removal or shaving of skin growth37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1124MNMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Podiatric Medicine and Surgery LLC CurrentSince Jun 1, 2022 Accepting new patients
North Clinic, PA Foot & Ankle Surgery CurrentSince Aug 30, 2022 Accepting new patients
First Choice Medical Group of Brevard LLC CurrentSince Sep 7, 2021 Accepting new patients
North Clinic, PA CurrentSince Aug 30, 2022 Accepting new patients

Locations

17781 Thelma Ave
Jupiter, FL 33458
Phone (561) 746-2998

1344 S Apollo Blvd
Ste 300
Melbourne, FL 32901
Phone (321) 308-0659

709 S Harbor City Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 409-9990

8132 Hudson Ave
Port Richey, FL 34667
Phone (727) 863-3100

9393 Park Blvd
Seminole, FL 33777
Phone (727) 319-2611

9825 Hospital Dr
Ste 300
Maple Grove, MN 55369
Phone (763) 494-7500

5109 36th Ave N
Minneapolis, MN 55422
Phone (630) 632-2648

9201 W Broadway Ave
Ste 601
Minneapolis, MN 55445
Phone (763) 587-7933

50 Central Ave
Osseo, MN 55369
Phone (612) 588-4625

15655 37th Ave N
Ste 100
Plymouth, MN 55446
Phone (612) 293-7822

Interoperability endpoints

  • Direct secure messaging: kaitlyn.laube.ward.1@8524.direct.athenahealth.com
  • Direct secure messaging: kaitlyn.laubeward@nor.eclinicaldirectplus.com

Organizations & group practices 4

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": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1265844385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 W BROADWAY AVE STE 601",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554451924",
            "telephone_number": "763-587-7900",
            "fax_number": "763-587-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DR STE 300",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694768",
            "telephone_number": "763-587-7900",
            "fax_number": "763-494-7501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5109 36th Ave N",
            "address_purpose": "LOCATION",
            "city": "Crystal",
            "state": "MN",
            "postal_code": "554222007",
            "country_code": "US",
            "telephone_number": "763-587-7900",
            "fax_number": "763-587-7989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15655 37th Ave N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554464003",
            "country_code": "US",
            "telephone_number": "763-587-7900",
            "fax_number": "763-587-7701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Osseo",
            "state": "MN",
            "postal_code": "553691241",
            "country_code": "US",
            "telephone_number": "763-587-7900",
            "fax_number": "763-420-1901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUBE WARD",
        "first_name": "KAITLYN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "1124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "LAUBE",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.