Katherine E Danielson, OT
Individual provider Active NPI Specialist · Starbuck, MN
NPI 1457575672 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457575672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 102589 (MN)
- Practice address
- 605 Main Street
Starbuck, MN 56381 - Phone
- (320) 239-2217
- Fax
- (320) 239-7144
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241008002876 | MN | Practitioner - Occupational Therapist in Private Practice | 1658802129 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Stone Therapy Inc. | Current |
Accepting new patients | |
| Minnewaska Home Care Inc | Past |
Accepting new patients | |
| Minnewaska Lutheran Home | Past | Accepting new patients |
Locations
2830 100th St
Ste 100
Urbandale, IA 50322
Phone (515) 537-4770
4319 NW Urbandale Dr
Urbandale, IA 50322
Phone (515) 875-9470
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 102589 | MN | Yes |
Addresses
Primary practice location
605 Main Street
Starbuck, MN 56381
Mailing address
605 Main Street
PO Box 40
Starbuck, MN 56381
Phone (320) 239-2217
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP42792 | Other | MN | HEALTH PARTNERS |
| 01022435 | Other | MN | PREFERRED ONE |
| 290K9DA | Other | MN | BLUE CROSS BLUE SHIELD |
| 030701011 | Other | MN | PRIME WEST |
| 328542100 | Medicaid | MN | |
| 6404894 | Other | MN | MEDICA |
| 122234 | Other | MN | UCARE |
Other providers in Starbuck, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.