Individual provider Active NPI

Danielle Kalor

  • Case Management Registered Nurse
  • Zimmerman, MN
National Provider Identifier
1366868002
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
208860-6 Issued in MN
Practice address
12567 5TH Ave N Ste 100
Zimmerman, MN 55398-8453
Phone
(763) 856-9955
NPI assigned
Mar 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 208860-6 MN Primary

Addresses

Primary practice location

12567 5TH Ave N Ste 100
Zimmerman, MN 55398-8453

Mailing address

13465 3Rd Ave S
Zimmerman, MN 55398-4500
Phone (763) 856-9955

Other identifiers 1

IdentifierTypeStateIssuer
208860-6MedicaidMN

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

LicenseStateTypeSpecialty
208860-6MNMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Home Care II, 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.

NPI Registry JSON

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1366868002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13465 3RD AVE S",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553984500",
            "telephone_number": "763-856-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12567 5TH AVE N STE 100",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553988453",
            "telephone_number": "763-856-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALOR",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MN",
            "license": "208860-6",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208860-6",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zimmerman, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.