Active NPI
Kaitlyn Leigh Laube Ward, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Maple Grove, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1124
- 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
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 |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PA
Practice addresses (Care Compare)
9825 Hospital Dr
Suite 300
Maple Grove, MN 55369-4768
Phone (763) 587-7900
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 128 |
| Removal or shaving of skin growth | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1124 | MN | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Coast Podiatric Medicine and Surgery LLC | Current | Accepting new patients | |
| North Clinic, PA | Foot & Ankle Surgery | Current | Accepting new patients |
| First Choice Medical Group of Brevard LLC | Current | Accepting new patients | |
| North Clinic, PA | Current | 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
- kaitlyn.laube.ward.1@8524.direct.athenahealth.com
- 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.
-
- Family Medicine Physician
- Brooklyn Park, MN
- NPI 1114962206
Foot & Ankle Surgery, MN
-
- Podiatric Clinic/Center
- Miami Beach, FL
- NPI 1356392500
FL
-
- Orthopaedic Surgery Physician
- Merritt Island, FL
- NPI 1578846564
FL
-
- Multi-Specialty Clinic/Center
- Brooklyn Park, MN
- NPI 1407011760
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.
- 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.