Myskye Care

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

MYSKYE CARE

Practice address

7671 Central Ave NE Ste 101
Fridley, MN 55432-3542

Phone

(651) 398-1996

Fax

(612) 500-4330

NPI assigned

Aug 17, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ciara Kunert

Title

Director

Phone

(651) 398-1996

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1043986409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 MARIGOLD AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431546",
            "telephone_number": "612-226-5766",
            "fax_number": "612-500-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7671 CENTRAL AVE NE STE 101",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323542",
            "telephone_number": "651-398-1996",
            "fax_number": "612-500-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYSKYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "KUNERT",
        "authorized_official_first_name": "CIARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-398-1996"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A196600700",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A550031400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Public Health or Welfare Agency in Fridley, MN
• Providers in Fridley, MN by specialty
• Public Health or Welfare Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.