Karilyn K Avery, MD

Key facts

NPI

1306933403

Entity type

Individual (NPI type 1)

Primary specialty

Pediatrics Physician 208000000X

License

9968 (ND)

Practice address

811 2ND St SE
Suite a
Little Falls, MN 56345-3559

Phone

(320) 631-7000

Fax

(320) 632-0534

NPI assigned

Oct 9, 2006

Sex

Female

Sole proprietor

No

Organizations & group practices 4

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.

• Unity Family Healthcare Orthopaedic Surgery Physician · Little Falls, MN · NPI 1326234006
  Medicare reassignment NPD MN
• Unity Family Healthcare Critical Access Hospital · Little Falls, MN · NPI 1780630939
  Medicare reassignment NPD MN
• Unity Family Healthcare Family Medicine Physician · Little Falls, MN · NPI 1275762650
  NPD
• Unity Family Healthcare Home Health Agency · Little Falls, MN · NPI 1952329047
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kavery193284@direct.centracare.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 8, 2012.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1306933403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 2ND ST SE",
            "address_2": "SUITE A",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453559",
            "telephone_number": "320-631-7000",
            "fax_number": "320-632-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 2ND ST SE",
            "address_2": "SUITE A",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453559",
            "telephone_number": "320-631-7000",
            "fax_number": "320-632-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "KARILYN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ND",
            "license": "9968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Apple Tree Dental
• Michael Todd Arneson, D.P.T.
• Maxine Schwartz Asnis, M.D.
• Alyssa Dawn Athman, RDN
• John Clifford Avery, LICSW
• Joelle George Ayoub, PHARMD
• Baby'S on Broadway
• Rebecca Elizabeth Barton, O.D.
• Melvin H Bauer, D.D.S.
• Baum Therapy Services LLC

All providers in Little Falls, MN · Pediatrics Physician in Minnesota