Active NPI
Anna L Leitch, RD
- Registered Dietitian
- Willmar, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4001
- Practice address
- 1604 1St St S
Willmar, MN 56201-4243 - Phone
- (320) 231-5000
- Fax
- (320) 231-5067
- NPI assigned
- Jun 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 4001 | MN | Primary |
Addresses
Primary practice location
1604 1St St S
Willmar, MN 56201-4243
Mailing address
1604 1St St S
Willmar, MN 56201-4243
Phone (320) 231-5000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | agessell437073@direct.centracare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- University of North Dakota School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 6TH Ave N
Centracare Clic River Campus
Saint Cloud, MN 56303-2735
Phone (320) 252-5131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Carris Health LLC | Current | Accepting new patients | |
| Centracare Clinic Southwest LLC | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic Southwest LLC | Current | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients |
Locations
600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
1604 1st St S
Ste 100
Willmar, MN 56201
Phone (320) 214-6908
301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120
1604 1st St S
Willmar, MN 56201
Phone (320) 231-5039
101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079
Interoperability endpoints
- agessell437073@direct.centracare.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 and National Provider Directory roles.
-
dba CentraCare - River Campus Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1043212665
-
dba CentraCare - Rice Memorial Hospital
- Emergency Medicine Physician
- Willmar, MN
- NPI 1134632680
-
- Multi-Specialty Clinic/Center
- Willmar, MN
- NPI 1174106264
-
dba CentraCare Occupations Health
- Occupational Medicine Clinic/Center
- Saint Cloud, MN
- NPI 1366192759
-
dba CentraCare - Albany Clinic
- Multi-Specialty Clinic/Center
- Albany, MN
- NPI 1457726549
-
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1912664889
-
dba CentraCare - St. Joseph Clinic
- Multi-Specialty Clinic/Center
- Saint Joseph, MN
- NPI 1134121759
-
dba CentraCare - Plaza Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1225030844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1790270148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 1ST ST S",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562014243",
"telephone_number": "320-231-5000",
"fax_number": "320-231-5067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 1ST ST S",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562014243",
"telephone_number": "320-231-5000",
"fax_number": "320-231-5067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITCH",
"first_name": "ANNA",
"middle_name": "L",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-28",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "4001",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agessell437073@direct.centracare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "agessell437073@direct.centracare.com",
"address_1": "1604 1st St S",
"city": "Willmar",
"state": "MN",
"country_code": "US",
"postal_code": "562014243",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.