Donna M Krull

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Practice address

13281 Cty. Hwy. 42
Parkers Prairie, MN 56361

Phone

(320) 808-3853

Fax

(218) 338-5118

NPI assigned

Jul 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1083055370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13281 CTY. HWY. 42",
            "city": "PARKERS PRAIRIE",
            "state": "MN",
            "postal_code": "56361",
            "telephone_number": "320-808-3853",
            "fax_number": "218-338-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13281 CTY. HWY. 42",
            "city": "PARKERS PRAIRIE",
            "state": "MN",
            "postal_code": "56361",
            "telephone_number": "320-808-3853",
            "fax_number": "218-338-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRULL",
        "first_name": "DONNA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMPI",
            "identifier": "A106625200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Parkers Prairie, MN
• Providers in Parkers Prairie, MN by specialty
• Adult Care Home Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.