Organization Active NPI

Mesabi Family Young Men'S Christian Association

  • Health Educator
  • Virginia, MN
National Provider Identifier
1033852413
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
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

Updated by the provider on Apr 14, 2022

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)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Direct Messaging Address dpellinen@mesabiymca.org

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.