Alissa Joy Redding, DPM
Individual provider Active NPI Primary Podiatric Medicine Podiatrist · Glenwood, MN
NPI 1760614390 · NPPES record last updated Nov 16, 2018
Key facts
- NPI
- 1760614390
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Podiatric Medicine Podiatrist 213EP1101X
- License
- 880 (MN)
- Practice address
- 417 Franklin St S
Glenwood, MN 56334-1598 - Phone
- (320) 634-4521
- Fax
- (320) 334-3249
- NPI assigned
- Aug 15, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Glacial Ridge Hospital District
CCM Health
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
- Glacial Ridge Hospital
- Chippewa County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120928000404 | MN | Practitioner - Podiatry | 5890970552 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CCM Health | Current |
Accepting new patients | |
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| Glacial Ridge Hospital District | Current |
Accepting new patients | |
| Glacial Ridge Hospital District | Current |
Accepting new patients | |
| CCM Health | Current |
Accepting new patients | |
| Glacial Ridge Hospital District | Current | 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
- https://fhir-usa.unify.chbase.com/org/glac-1755385c
- aredding846859@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 880 | MN | Yes |
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
Other providers in Glenwood, MN
- Caitlin Pederson
- Randall Edward Pederson
- David Edward Polzin
- Pope County Human Services
- Pope County Public Health Nursing Service
- Rebekah Ruth Rick
- Scott William Ringdahl
- Melissa A Saari
- Jeffrey Alan Schlueter
- Joseph Anthony Schneiderhan
All providers in Glenwood, MN · Primary Podiatric Medicine Podiatrist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.