Individual provider Active NPI

Karleen Tichy

  • Community Health Registered Nurse
  • Alexandria, MN
National Provider Identifier
1497295414
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
R173353-8 Issued in MN
Practice address
809 Elm St
Suite 1200
Alexandria, MN 56308-5296
Phone
(320) 763-6018
Fax
(320) 763-4127
NPI assigned
Feb 24, 2017
Last updated
Feb 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X R173353-8 MN Primary

Addresses

Primary practice location

809 Elm St
Suite 1200
Alexandria, MN 56308-5296

Mailing address

809 Elm St
Suite 1200
Alexandria, MN 56308-5296
Phone (320) 763-6018

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R173353-8MNMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Public Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1497295414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 ELM ST",
            "address_2": "SUITE 1200",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563085296",
            "telephone_number": "320-763-6018",
            "fax_number": "320-763-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 ELM ST",
            "address_2": "SUITE 1200",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563085296",
            "telephone_number": "320-763-6018",
            "fax_number": "320-763-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICHY",
        "first_name": "KARLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MN",
            "license": "R173353-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.