Active NPI
Patricia Ann Kappas-Larson, DNP, APN-C
- Nurse Practitioner
- Roseville, MN
National Provider Identifier
1003115379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R-62916-4
- Practice address
- 2845 Hamline Ave N
Roseville, MN 55113-7127 - Phone
- (651) 631-6100
- Fax
- (651) 631-6343
- NPI assigned
- Mar 25, 2011
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R-62916-4 | MN | Primary |
Addresses
Primary practice location
2845 Hamline Ave N
Roseville, MN 55113-7127
Mailing address
2845 Hamline Ave N
Roseville, MN 55113-7127
Phone (651) 631-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R-62916-4 | Other | MN | STATE BOARD OF NSG |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-62916-4 | MN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301011200000",
"number": "1003115379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2845 HAMLINE AVE N",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551137127",
"telephone_number": "651-631-6100",
"fax_number": "651-631-6343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 HAMLINE AVE N",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551137127",
"telephone_number": "651-631-6100",
"fax_number": "651-631-6343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPPAS-LARSON",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DNP, APN-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-25",
"last_updated": "2011-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R-62916-4",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF NSG",
"identifier": "R-62916-4",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.