Kristen Mellen

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

176872-3 Issued in MN

Practice address

104 Buckingham CT
Mankato, MN 56001-5576

Phone

(320) 282-8257

NPI assigned

Oct 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen Hrdlicka Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1366993339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BUCKINGHAM CT",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015576",
            "telephone_number": "320-282-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BUCKINGHAM CT",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015576",
            "telephone_number": "320-282-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLEN",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MN",
            "license": "176872-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "HRDLICKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allen M Meerbeek, CRNA
• Mary Kay Megard
• Rebecca Ann Caron Meintsma, DC
• Jessica M. Melchior, DOT
• Amanda Melin, NP
• Janelle Kay Mellgren
• Julie C Melzer, M.A., LPCC
• Menari Body Works
• Lauren Lynn Mendez McConkey
• Jasmine Faith Menjivar

• Case Management Registered Nurse in Mankato, MN
• Providers in Mankato, MN by specialty
• Case Management Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.