Individual provider Active NPI

Leilah Korbines, RD, CD, MPH

  • Registered Dietitian
  • Milwaukee, WI
National Provider Identifier
1508427139
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
820 N Plankinton Ave
Milwaukee, WI 53203-1802
Phone
(414) 223-6820
NPI assigned
Jun 25, 2019
Last updated
Jun 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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 NU Primary

Addresses

Primary practice location

820 N Plankinton Ave
Milwaukee, WI 53203-1802

Mailing address

648 N Plankinton Ave Ste 200
Milwaukee, WI 53203-2928

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216002577 WI Practitioner - Registered Dietitian Or Nutrition Professional 8325453772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
University of Washington School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vivent Health IncGroup PAC ID 1052308376, 54 clinicians

Practice addresses (Care Compare)

1212 57TH St
Kenosha, WI 53140-4069
Phone (414) 225-1568

1311 N 6TH St
Milwaukee, WI 53212-4006
Phone (414) 223-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vivent Health Inc CurrentSince Oct 27, 2020 Accepting new patients
Vivent Health Inc CurrentSince Oct 27, 2020 Accepting new patients

Locations

445 S Adams St
Green Bay, WI 54301
Phone (920) 437-7400

1212 57th St
Kenosha, WI 53140
Phone (414) 225-1568

600 Williamson St
Ste H
Madison, WI 53703
Phone (608) 252-6540

1311 N 6th St
Milwaukee, WI 53212
Phone (414) 223-6800

648 N Plankinton Ave
Ste 200
Milwaukee, WI 53203

820 N Plankinton Ave
Milwaukee, WI 53203
Phone (414) 225-1542

Organizations & group practices 2

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1508427139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 N PLANKINTON AVE STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532032928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N PLANKINTON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532031802",
            "telephone_number": "414-223-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORBINES",
        "first_name": "LEILAH",
        "credential": "RD, CD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.