Active NPI
Kristen Caruso Case, MD
- Psychiatry Physician
- Edina, MN
National Provider Identifier
1114979390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 48255
- Practice address
- 6363 France Ave S Ste 200
Edina, MN 55435-2140 - Phone
- (952) 230-9100
- Fax
- (952) 922-2525
- NPI assigned
- May 16, 2006
- Last updated
- Sep 16, 2020
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 48255 | MN | Primary |
Addresses
Primary practice location
6363 France Ave S Ste 200
Edina, MN 55435-2140
Mailing address
9400 Zane Ave N
Brooklyn Park, MN 55443-1814
Phone (763) 762-8800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34846100 | Medicaid | WI | |
| HP62326 | Other | MN | HEALTHPARTNERS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48255 | MN | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1114979390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9400 ZANE AVE N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554431814",
"telephone_number": "763-762-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6363 FRANCE AVE S STE 200",
"city": "EDINA",
"state": "MN",
"postal_code": "554352140",
"telephone_number": "952-230-9100",
"fax_number": "952-922-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASE",
"first_name": "KRISTEN",
"middle_name": "CARUSO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "48255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34846100",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP62326",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.