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EMILY INGEBORG LITTLE RD, LD
NPI 1104587203
Student in an Organized Health Care Education/Training Program in St. Paul, MN

Active since January 02, 2022
2265 COMO AVE, ST. PAUL, MN 55108(888) 364-5977 Get Directions Write a Review

NPPES record last updated: January 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Emily Ingeborg Little Rd, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY INGEBORG LITTLE RD, LD (NPI 1104587203) is an individual student in an organized health care education/training program in St. Paul, Minnesota and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1104587203
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEMILY INGEBORG LITTLECredential: RD, LD
Location Address2265 COMO AVESt. Paul, MN 55108
Mailing Address1130 Northwood Dr., Apt. 221Eagan, MN 55121 · (612) 239-2649
Phone(888) 364-5977
Sole ProprietorYes
Enumeration DateJanuary 2, 2022
NPPES CertifiedJanuary 2, 2022
✔ NPI 1104587203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2265 COMO AVE, St. Paul, MN 55108
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Ingeborg Little Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Emily Little reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emily Program P C
Same address
Mental Health (Including Community Mental Health Center)
2265 COMO AVENUE, SUITE 100
St Paul, MN 55108
  • Reassigned Medicare billing, Minnesota enrollment
  • 121 clinicians in this Medicare group
NPI 1528165065 (866) 364-5977

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL HILMAR WAGNER R.D., L.D.
Nutritionist
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
MISS KELLY PERTZSCH MA
Counselor (Professional)
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5325
STEFANIE KAITLYN JENSEN RD, LD
Dietitian, Registered
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
KRISTA WANOUS MA, MFT, AT
Student in an Organized Health Care Education/Training Program
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
LINNEA MCCOSH
Marriage & Family Therapist
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
ARIEL SYVERTSON
Counselor (Professional)
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
DEANNA MILLER
Dietitian, Registered
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
LINDSEY STIYER RD
Dietitian, Registered
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Little's NPI number?

The NPI number for Emily Little is 1104587203. It was assigned to this individual provider in the NPPES registry on January 2, 2022.

Where is Emily Little located?

Emily Little practices at 2265 Como Ave, St. Paul, MN 55108. The listed phone number is (888) 364-5977.

What is Emily Little's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Emily Little enrolled in Medicare?

Yes. Emily Little is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emily Little's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Little reassigns Medicare benefits to Emily Program P C (St Paul, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emily Little's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Emily Little was last updated on January 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.