Individual provider Active NPI

Mary Katherine Dunigan, RN

  • Home Health Registered Nurse
  • Woodbury, MN
National Provider Identifier
1114181732
Registry record updated Jul 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
R148260-1 Issued in MN
Practice address
7049 Courtly Rd
Woodbury, MN 55125-1659
Phone
(651) 739-8393
NPI assigned
Jul 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X R148260-1 MN Primary

Addresses

Primary practice location

7049 Courtly Rd
Woodbury, MN 55125-1659

Mailing address

7049 Courtly Rd
Woodbury, MN 55125-1659
Phone (651) 739-8393

Other names 1

  • Mary Katherine Culp Former name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R148260-1MNMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215907200000",
    "number": "1114181732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7049 COURTLY RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251659",
            "telephone_number": "651-739-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7049 COURTLY RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251659",
            "telephone_number": "651-739-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNIGAN",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-13",
        "last_updated": "2008-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "R148260-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CULP",
            "middle_name": "KATHERINE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2008; 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.