Active NPI
Christine Rose Hollenkamp, CPNP, MAN, RN
- Pediatric Nurse Practitioner
- Sartell, MN
National Provider Identifier
1528404258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R 191057-1
- Practice address
- 111 2ND St S
Sartell, MN 56377-1917 - Phone
- (320) 281-3339
- NPI assigned
- May 21, 2013
- Last updated
- Apr 7, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R 191057-1 | MN | Primary |
Addresses
Primary practice location
111 2ND St S
Sartell, MN 56377-1917
Mailing address
111 2ND St S
Sartell, MN 56377-1917
Phone (320) 281-3339
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 Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 191057-1 | MN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sartell Pediatrics, P.a. | Current | Accepting new patients |
Locations
111 2nd St S
Sartell, MN 56377
Phone (320) 281-3339
Interoperability endpoints
- christine.hollenkamp.1@33161.direct.athenahealth.com
- https://api.platform.athenahealth.com/12435/brand/1/csg/1/fhir/r4
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": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1528404258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 2ND ST S",
"city": "SARTELL",
"state": "MN",
"postal_code": "563771917",
"telephone_number": "320-281-3339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 2ND ST S",
"city": "SARTELL",
"state": "MN",
"postal_code": "563771917",
"telephone_number": "320-281-3339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLENKAMP",
"first_name": "CHRISTINE",
"middle_name": "ROSE",
"credential": "CPNP, MAN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MN",
"license": "R 191057-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sartell, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.