Individual provider Active NPI

Stephen Andrew Kronlage, RDN, LDN

  • Registered Dietitian
  • Kenai, AK
National Provider Identifier
1376211201
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
181691 Issued in AK
Practice address
508 Upland St
Kenai, AK 99611-8026
Phone
(907) 335-7600
NPI assigned
Sep 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 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 181691 AK Primary

Addresses

Primary practice location

508 Upland St
Kenai, AK 99611-8026

Mailing address

805 Peninsula Ave Apt 8
Kenai, AK 99611-6949
Phone (907) 513-7591

Other identifiers 1

IdentifierTypeStateIssuer
1724847MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251209000492 NH Practitioner - Registered Dietitian Or Nutrition Professional 0840681011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

600 Saint Johnsbury Rd
Littleton, NH 03561-3442

7 Clyde Rd
Somerset, NJ 08873-5049

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2321NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Littleton Hospital Association CurrentSince Oct 1, 2025 Accepting new patients
Littleton Hospital Association CurrentSince Oct 1, 2025 Accepting new patients
Expedition Nutrition Services LLC Dietitian, Registered CurrentSince Feb 18, 2024 Accepting new patients
Littleton Hospital Association CurrentSince Oct 1, 2025 Accepting new patients
Littleton Hospital Association Past Accepting new patients

Locations

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

580 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-0385

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1376211201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 PENINSULA AVE APT 8",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996116949",
            "telephone_number": "907-513-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 UPLAND ST",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118026",
            "telephone_number": "907-335-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONLAGE",
        "first_name": "STEPHEN",
        "middle_name": "ANDREW",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-03",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AK",
            "license": "181691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1724847",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenai, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.