Active NPI
Kari Garin, RN, CNP
- Gerontology Nurse Practitioner
- Wayzata, MN
National Provider Identifier
1487070678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AG0214110
- Practice address
- 100 Promenade Ave
Wayzata, MN 55391-4542 - Phone
- (651) 631-6361
- NPI assigned
- Mar 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AG0214110 | MN | |
| Gerontology Nurse Practitioner | 363LG0600X | AG0214110 | MN | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | AG0214110 | MN |
Addresses
Primary practice location
100 Promenade Ave
Wayzata, MN 55391-4542
Mailing address
3433 Broadway St NE
Ste 300
Minneapolis, MN 55413-1761
Phone (763) 587-7737
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1071 | MN | MD | Mental Health Counselor |
| AG0214110 | MN | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1487070678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3433 BROADWAY ST NE",
"address_2": "STE 300",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554131761",
"telephone_number": "763-587-7737",
"fax_number": "763-587-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PROMENADE AVE",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553914542",
"telephone_number": "651-631-6361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARIN",
"first_name": "KARI",
"credential": "RN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-11",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MN",
"license": "AG0214110",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MN",
"license": "AG0214110",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MN",
"license": "AG0214110",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayzata, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.