Active NPI
Kathy Ann Beaulieu-Sanders, R.N.
- Home Health Aide
- Minneapolis, MN
National Provider Identifier
1275800971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- R 203349-9
- Practice address
- 2700 E 28TH St
Suite 170
Minneapolis, MN 55406-2990 - Phone
- (612) 872-1950
- NPI assigned
- Nov 23, 2011
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | R 203349-9 | MN | Primary |
Addresses
Primary practice location
2700 E 28TH St
Suite 170
Minneapolis, MN 55406-2990
Mailing address
11911 48TH St NE
Saint Michael, MN 55376-1103
Phone (952) 715-7221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902070584 | Medicaid | MN |
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 |
|---|---|---|---|
| R 203349-9 | MN | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaal Home Healthcare, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Minneapolis, MN
- NPI 1902070584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1275800971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11911 48TH ST NE",
"city": "SAINT MICHAEL",
"state": "MN",
"postal_code": "553761103",
"telephone_number": "952-715-7221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 E 28TH ST",
"address_2": "SUITE 170",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554062990",
"telephone_number": "612-872-1950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAULIEU-SANDERS",
"first_name": "KATHY",
"middle_name": "ANN",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-23",
"last_updated": "2025-09-11",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MN",
"license": "R 203349-9",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902070584",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.