Individual provider Active NPI

Belinda M Kubri

  • Home Health Registered Nurse
  • Otsego, MN
National Provider Identifier
1114840790
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
2480755 Issued in MN
Practice address
11871 74TH St NE
Otsego, MN 55301-4721
Phone
(612) 594-1169
Fax
(417) 805-3764
NPI assigned
Jul 31, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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 NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X 2480755 MN Primary

Addresses

Primary practice location

11871 74TH St NE
Otsego, MN 55301-4721

Mailing address

11871 74TH St NE
Otsego, MN 55301-4721
Phone (612) 594-1169

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": "1785456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1114840790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11871 74TH ST NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553014721",
            "telephone_number": "612-594-1169",
            "fax_number": "417-805-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11871 74TH ST NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553014721",
            "telephone_number": "612-594-1169",
            "fax_number": "417-805-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBRI",
        "first_name": "BELINDA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "2480755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Otsego, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.