Individual provider Active NPI

Alissa Joy Redding, DPM

  • Primary Podiatric Medicine Podiatrist
  • Glenwood, MN
National Provider Identifier
1760614390
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
880 Issued in MN
Practice address
417 Franklin St S
Glenwood, MN 56334-1598
Phone
(320) 634-4521
Fax
(320) 334-3249
NPI assigned
Aug 15, 2009
Last updated
Nov 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 880 MN Primary

Addresses

Primary practice location

417 Franklin St S
Glenwood, MN 56334-1598

Mailing address

10 4TH Ave SE
Glenwood, MN 56334-1820
Phone (320) 634-2276

Other practice location 1

10 4th Ave SE
Glenwood, MN 56334-1820
Phone (320) 634-4521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120928000404 MN Practitioner - Podiatry 5890970552 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Glacial Ridge Hospital DistrictGroup PAC ID 5294789194, shared by 7 NPIs, 69 clinicians
CCM HealthGroup PAC ID 4284539453, 69 clinicians

Practice addresses (Care Compare)

10 4TH Ave SE
Glenwood, MN 56334-1820

417 Franklin St S
Glenwood, MN 56334-1518
Phone (320) 634-5157

824 N 11TH St
Montevideo, MN 56265-1629
Phone (320) 269-8877

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Glacial Ridge Hospital District CurrentSince Aug 1, 2016 Accepting new patients
Glacial Ridge Hospital District Current Accepting new patients
Glacial Ridge Hospital District CurrentSince Aug 1, 2016 Accepting new patients
CCM Health CurrentSince Jan 1, 2025 Accepting new patients
Glacial Ridge Hospital District Current Accepting new patients
CCM Health CurrentSince Jan 1, 2025 Accepting new patients
Foot Healthcare Associates, PC Primary Podiatric Medicine Past Accepting new patients

Locations

10 4th Ave SE
Glenwood, MN 56334
Phone (320) 634-5157

417 Franklin St S
Glenwood, MN 56334
Phone (320) 634-5157

824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877

Interoperability endpoints

  • Direct secure messaging: aredding846859@direct.centracare.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/glac-1755385c

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1250294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1760614390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 4TH AVE SE",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "563341820",
            "telephone_number": "320-634-2276",
            "fax_number": "320-634-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 FRANKLIN ST S",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "563341598",
            "telephone_number": "320-634-4521",
            "fax_number": "320-334-3249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 4th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Glenwood",
            "state": "MN",
            "postal_code": "563341820",
            "country_code": "US",
            "telephone_number": "320-634-4521",
            "fax_number": "320-334-3249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDING",
        "first_name": "ALISSA",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-15",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MN",
            "license": "880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood, MN

Sources for this page

Verify at the official NPI Registry.