Kaya Health Care L.L.C.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

682820800022 Issued in MN

Legal business name

KAYA HEALTH CARE L.L.C.

Practice address

26813 13TH Ave. S.E.
Saint Cloud, MN 56304-8536

Phone

(320) 420-0268

NPI assigned

Aug 16, 2013

Organization subpart

No

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

Authorized official

Name

Icephine Johnson, CNP BC

Title

Nurse Practitioner

Phone

(320) 420-0268

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1154754885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26813 13TH AVE. S.E.",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563048536",
            "telephone_number": "320-420-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26813 13TH AVE. S.E.",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563048536",
            "telephone_number": "320-420-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYA HEALTH CARE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ICEPHINE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "320-420-0268",
        "authorized_official_credential": "CNP BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "682820800022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crisanta Kathrein
• Kathryn Ann Katka, APRN, CNP
• Sakshi Kaul, M.D.
• Kawashaway Eyecare (Bailey & Associates)
• Brian Kay
• Ke Dental, PLLC
• Jeffrey Kearney, PHD, LP
• Maria Kearney, PHD, LP
• Erin Keating
• Mary U Keating, MD

• Adult Health Nurse Practitioner in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Adult Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.