Active NPI
Katherine Eldred, RN-BC
- Psychiatric/Mental Health Registered Nurse
- Saint Paul, MN
National Provider Identifier
1235519919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- R-204719 7
- Practice address
- 317 York Ave
Saint Paul, MN 55130-4039 - Phone
- (651) 288-3485
- Fax
- (651) 774-5517
- NPI assigned
- Jun 8, 2015
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | R-204719 7 | MN | Primary |
Addresses
Primary practice location
317 York Ave
Saint Paul, MN 55130-4039
Mailing address
317 York Ave
Saint Paul, MN 55130-4039
Phone (651) 288-3485
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-204719 7 | MN | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433721600000",
"number": "1235519919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 YORK AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551304039",
"telephone_number": "651-288-3485",
"fax_number": "651-774-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 YORK AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551304039",
"telephone_number": "651-288-3485",
"fax_number": "651-774-5517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDRED",
"first_name": "KATHERINE",
"credential": "RN-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-08",
"last_updated": "2015-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "MN",
"license": "R-204719 7",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.