Individual provider Active NPI

Katharine Ann Finifrock, RN

  • Hospice Registered Nurse
  • Moose Lake, MN
National Provider Identifier
1225512254
Registry record updated Sep 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice Registered NurseTaxonomy code 163WH1000X
License
1884063 Issued in MN
Practice address
60 Arrowhead LN
Moose Lake, MN 55767-9453
Phone
(218) 485-4401
Fax
(218) 485-8774
NPI assigned
Sep 15, 2018
Last updated
Sep 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered Nurse 163WH1000X 1884063 MN Primary

Addresses

Primary practice location

60 Arrowhead LN
Moose Lake, MN 55767-9453

Mailing address

2644 County Road 6
Barnum, MN 55707-8738
Phone (612) 655-5151

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
1884063MNMDHospice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Drug Stores Inc Past Accepting new patients
Thrifty Drug Stores Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536969600000",
    "number": "1225512254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 COUNTY ROAD 6",
            "city": "BARNUM",
            "state": "MN",
            "postal_code": "557078738",
            "telephone_number": "612-655-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ARROWHEAD LN",
            "city": "MOOSE LAKE",
            "state": "MN",
            "postal_code": "557679453",
            "telephone_number": "218-485-4401",
            "fax_number": "218-485-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINIFROCK",
        "first_name": "KATHARINE",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-15",
        "last_updated": "2018-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "MN",
            "license": "1884063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moose Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2018; 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.