Kathy Nicki Mencke, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R078147-1 Issued in MN

Practice address

559 Capitol Blvd
Saint Paul, MN 55103-2101

Phone

(651) 232-2000

Fax

(651) 232-2118

NPI assigned

Aug 16, 2006

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

• Kathy Nicki Dobbs Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477666196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8838 LAKE JANE TRL N",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428518",
            "telephone_number": "651-770-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 CAPITOL BLVD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032101",
            "telephone_number": "651-232-2000",
            "fax_number": "651-232-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCKE",
        "first_name": "KATHY",
        "middle_name": "NICKI",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R078147-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "DOBBS",
            "middle_name": "NICKI",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Kathleen Menacher, LPN
• Luciana Maria Menawej
• Paul Brian Mencke, CRNA
• Nancy J Mendelsohn, MD
• Tai J Mendenhall, LMFT, PHD
• Mendes Family Dentistry
• Charles H. Mendes

• Certified Registered Nurse Anesthetist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Certified Registered Nurse Anesthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.