Active NPI
Mesabi Family Young Men'S Christian Association
- Health Educator
- Virginia, MN
National Provider Identifier
1033852413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Legal business name
- MESABI FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION
- Practice address
- 8367 Unity Dr
Virginia, MN 55792-4005 - Phone
- (218) 749-8020
- NPI assigned
- Apr 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Cina
- Title
- Lifestyle Coach
- Phone
- (218) 741-7206
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
8367 Unity Dr
Virginia, MN 55792-4005
Mailing address
8367 Unity Dr
Virginia, MN 55792-4005
Phone (218) 749-8020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dpellinen@mesabiymca.org |
National Provider Directory
National Provider DirectoryLocations
8367 Unity Dr
Virginia, MN 55792
Phone (218) 749-8020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649894400000",
"number": "1033852413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8367 UNITY DR",
"city": "VIRGINIA",
"state": "MN",
"postal_code": "557924005",
"telephone_number": "218-749-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8367 UNITY DR",
"city": "VIRGINIA",
"state": "MN",
"postal_code": "557924005",
"telephone_number": "218-749-8020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESABI FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-14",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A",
"authorized_official_last_name": "CINA",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "LIFESTYLE COACH",
"authorized_official_telephone_number": "218-741-7206"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dpellinen@mesabiymca.org",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "8367 Unity Dr",
"city": "Virginia",
"state": "MN",
"country_code": "US",
"postal_code": "557924005",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Virginia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.