Active NPI
Nicole Kottke
- Pharmacy Technician
- Saint Cloud, MN
National Provider Identifier
1093233231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- Practice address
- 141 33Rd Ave South
Saint Cloud, MN 56301 - Phone
- (320) 443-6251
- NPI assigned
- Sep 8, 2017
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | MN | Primary |
Addresses
Primary practice location
141 33Rd Ave South
Saint Cloud, MN 56301
Mailing address
141 33Rd Ave South
St. Cloud, MN 56303
Phone (320) 443-6251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 734393 | Other | MN | TECHNICIAN LICENCE NUMBER |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1093233231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 33RD AVE SOUTH",
"city": "ST. CLOUD",
"state": "MN",
"postal_code": "56303",
"telephone_number": "320-443-6251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 33RD AVE SOUTH",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "56301",
"telephone_number": "320-443-6251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTTKE",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TECHNICIAN LICENCE NUMBER",
"identifier": "734393",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.