Active NPI
Sharon E. Kanters, M.A.
- Psychologist
- Eden Prairie, MN
National Provider Identifier
1104975705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP3088
- Practice address
- 8897 Aztec Dr
Eden Prairie, MN 55347-1901 - Phone
- (952) 944-1876
- Fax
- (952) 942-5726
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP3088 | MN | Primary |
Addresses
Primary practice location
8897 Aztec Dr
Eden Prairie, MN 55347-1901
Mailing address
9311 Xylon Cir S
Bloomington, MN 55438-1443
Phone (952) 944-1876
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3088 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248739200000",
"number": "1104975705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9311 XYLON CIR S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554381443",
"telephone_number": "952-944-1876",
"fax_number": "953-942-5726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8897 AZTEC DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553471901",
"telephone_number": "952-944-1876",
"fax_number": "952-942-5726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANTERS",
"first_name": "SHARON",
"middle_name": "E.",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2009-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP3088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.