Individual provider Active NPI

Leah Catherine Kleinschrodt, MS, RD

  • Registered Dietitian
  • Saint Paul, MN
National Provider Identifier
1942720453
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
45 Snelling Ave N
Saint Paul, MN 55104-6842
Phone
(651) 699-3438
Fax
(651) 695-0191
NPI assigned
Jun 26, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

45 Snelling Ave N
Saint Paul, MN 55104-6842

Mailing address

5745 Babcock TRL
Inver Grove Heights, MN 55077-2110
Phone (651) 208-3143

Other practice location 1

9509 Blackoaks Ln N
Maple Grove, MN 55311-1229
Phone (763) 657-1730

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171219000657 MN Practitioner - Registered Dietitian Or Nutrition Professional 3971861055 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3861MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nutritional Weight and Wellness CurrentSince Nov 15, 2017 Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients

Locations

9509 Blackoaks Ln N
Maple Grove, MN 55311
Phone (763) 657-1730

45 Snelling Ave N
Saint Paul, MN 55104
Phone (651) 326-5650

Organizations & group practices 3

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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942720453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5745 BABCOCK TRL",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550772110",
            "telephone_number": "651-208-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SNELLING AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046842",
            "telephone_number": "651-699-3438",
            "fax_number": "651-695-0191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9509 Blackoaks Ln N",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553111229",
            "country_code": "US",
            "telephone_number": "763-657-1730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEINSCHRODT",
        "first_name": "LEAH",
        "middle_name": "CATHERINE",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.