Individual provider Active NPI

Cristen L Luehmann, MS, RLD

  • Registered Dietitian
  • Des Peres, MO
National Provider Identifier
1912322124
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2001024956 Issued in MO
Practice address
12015 Manchester Rd Ste 182
Des Peres, MO 63131-4417
Phone
(314) 616-0800
NPI assigned
Feb 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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 2001024956 MO Primary

Addresses

Primary practice location

12015 Manchester Rd Ste 182
Des Peres, MO 63131-4417

Mailing address

1235 Wood Station PL
Manchester, MO 63021-6946
Phone (314) 616-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2001024956MOMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1912322124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 WOOD STATION PL",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630216946",
            "telephone_number": "314-616-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12015 MANCHESTER RD STE 182",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631314417",
            "telephone_number": "314-616-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEHMANN",
        "first_name": "CRISTEN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MS, RLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2001024956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Peres, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.