Active NPI
Dana Kelly, RN,C
- Perinatal Registered Nurse
- Prior Lake, MN
National Provider Identifier
1245169242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perinatal Registered Nurse
- License
- 1806436
- Practice address
- 5379 Brooks Cir SE
Prior Lake, MN 55372-2559 - Phone
- (612) 214-5217
- NPI assigned
- May 15, 2026
- 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 |
|---|---|---|---|---|
| Perinatal Registered Nurse | 163WP1700X | 1806436 | MN | Primary |
Addresses
Primary practice location
5379 Brooks Cir SE
Prior Lake, MN 55372-2559
Mailing address
5379 Brooks Cir SE
Prior Lake, MN 55372-2559
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1806436 | MN | MD | Perinatal Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1245169242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5379 BROOKS CIR SE",
"city": "PRIOR LAKE",
"state": "MN",
"postal_code": "553722559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5379 BROOKS CIR SE",
"city": "PRIOR LAKE",
"state": "MN",
"postal_code": "553722559",
"telephone_number": "612-214-5217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "DANA",
"credential": "RN,C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-15",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WP1700X",
"taxonomy_group": "",
"desc": "Registered Nurse, Perinatal",
"state": "MN",
"license": "1806436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prior Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.