Organization Active NPI

Ann Koranda

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Rochester, MN
National Provider Identifier
1205968708
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
R136083-3 Issued in MN
Legal business name
ANN KORANDA
Practice address
1500 1St Ave NE
Suite 213
Rochester, MN 55906-4170
Phone
(507) 289-7807
Fax
(206) 222-2009
NPI assigned
Mar 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ann Koranda, CNS, APRNNPI 1336276575
Title
Owner
Phone
(507) 261-7904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0808X R136083-3 MN Primary

Addresses

Primary practice location

1500 1St Ave NE
Suite 213
Rochester, MN 55906-4170

Mailing address

1500 1St Ave NE
Suite 213
Rochester, MN 55906-4170
Phone (507) 289-7807

Other names 1

  • Change Counseling for Recovery Doing business as

National Provider Directory

National Provider Directory

Locations

1500 1st Ave NE
Ste 213
Rochester, MN 55906
Phone (507) 289-7807

400 Broadway Ave S
Ste 101
Rochester, MN 55904
Phone (507) 269-6699

18 3rd St SW
Rochester, MN 55902
Phone (507) 258-5260

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205968708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE NE",
            "address_2": "SUITE 213",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559064170",
            "telephone_number": "507-289-7807",
            "fax_number": "206-222-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE NE",
            "address_2": "SUITE 213",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559064170",
            "telephone_number": "507-289-7807",
            "fax_number": "206-222-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN KORANDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KORANDA",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-261-7904",
        "authorized_official_credential": "CNS, APRN"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MN",
            "license": "R136083-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Change Counseling for Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.