Kathryn Cottrell Dusek

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

460940345 Issued in MN

Practice address

4804 Thomas Ave S
Minneapolis, MN 55410-1802

Phone

(617) 519-8083

NPI assigned

May 12, 2021

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

Other identifiers 1

Electronic endpoints 1

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": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1396329686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 THOMAS AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101802",
            "telephone_number": "617-519-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 THOMAS AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101802",
            "telephone_number": "617-519-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSEK",
        "first_name": "KATHRYN",
        "middle_name": "COTTRELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "MN",
            "license": "460940345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC",
            "identifier": "6175198083",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Minneapolis",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4804 Thomas Ave S",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554101802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ian Durbin, MD
• Janet Marie Durfee, RN MSN AN PC
• Christine Durler
• Marissa Durman Madrigal, MD
• Mindy Ann Durtsche, D.C.
• Kathryn E Dusenbery, MD
• David Dushfunian, MD
• Nina Dussias
• Erla J Dutkowski, ANP
• Sajel Dutt

• Health & Wellness Coach in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Health & Wellness Coach in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.