Kathleen Grennan Hopkins, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

53622 Issued in MN

Practice address

5565 Blaine Avenue
Allina Health Inver Grove Heights Clinic
Inver Grove Heights, MN 55076

Phone

(651) 241-9400

NPI assigned

May 4, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Minnesota Personalized Medicine LLC

  • Medical Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1760144679
  NPD (past)

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1346474509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 BLAINE AVENUE",
            "address_2": "ALLINA HEALTH INVER GROVE HEIGHTS CLINIC",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "55076",
            "telephone_number": "651-241-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "KATHLEEN",
        "middle_name": "GRENNAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "53622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kourtney Rae Hintz
• Victoria Ruth Hoffman, RPH
• Celia June Holec
• Ingrid Holt, LICSW
• Rachelle Joyce Hoover
• Joseph Horst, DDS
• Olivia Jean Horvath-Sherburne, MS, CCC-SLP
• Scott Alan Howard
• Renee Lynn Howell
• Elinor Hsu, LAC

• Family Medicine Physician in Inver Grove Heights, MN
• Providers in Inver Grove Heights, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.