Individual provider Active NPI

Laura Klossner, RD, LD

  • Registered Dietitian
  • O'Fallon, MO
National Provider Identifier
1477921278
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2015030991 Issued in MO
Practice address
300 Winding Woods Dr Ste 206
O Fallon, MO 63366-4773
Phone
(816) 505-1000
NPI assigned
Sep 10, 2015
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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 2015030991 MO Primary

Addresses

Primary practice location

300 Winding Woods Dr Ste 206
O Fallon, MO 63366-4773

Mailing address

PO Box 60677
Chicago, IL 60677-0900
Phone (636) 893-1356

Other practice location 1

189 Lantana Rd Ste 102
Crossville, TN 38555-5127
Phone (931) 456-0881

Other names 1

  • Laura Irminger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151014002884 MO Practitioner - Registered Dietitian Or Nutrition Professional 8224347299 Reassigns benefits to 1 organization
I20250731001144 TN Practitioner - Registered Dietitian Or Nutrition Professional 8224347299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

933 W Race St
Kingston, TN 37763-2123
Phone 865882010586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015030991MOMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Mercy Clinic East Communities CurrentSince Feb 9, 2023 Accepting new patients
Mochi Medical Ca PC Past Accepting new patients
Saint Francis Medical Center Past Accepting new patients
Summit Medical Group,PLLC PastSince Jan 26, 2025 Accepting new patients
Summit Medical Group, PLLC Past Accepting new patients
Digestive Health Specialists, LLC Past Accepting new patients

Locations

300 Winding Woods Dr
Ste 206
O Fallon, MO 63366
Phone (636) 239-8097

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

1607 Westgate Cir
Ste 200
Brentwood, TN 37027
Phone (615) 376-8195

109 Del Rio Pike
Franklin, TN 37064
Phone (615) 435-3854

380 W Broadway Blvd
Jefferson City, TN 37760
Phone (865) 450-9361

933 W Race St
Kingston, TN 37763
Phone (865) 882-0105

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

Interoperability endpoints

  • Direct secure messaging: laura.klossner.1@20785.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1477921278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60677",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770900",
            "telephone_number": "636-893-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WINDING WOODS DR STE 206",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664773",
            "telephone_number": "816-505-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "189 Lantana Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385555127",
            "country_code": "US",
            "telephone_number": "931-456-0881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOSSNER",
        "first_name": "LAURA",
        "name_prefix": "Miss",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2015030991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "IRMINGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.