Kavira Health Urgent Care LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

KAVIRA HEALTH URGENT CARE LLC

Practice address

8530 W 35TH St
St Louis Park, MN 55426-3853

Phone

(612) 702-5420

NPI assigned

Apr 27, 2021

Organization subpart

No

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

Authorized official

Name

Kayla Nicole Christy, RN

Title

Clinical Director

Phone

(612) 702-5420

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kavira Health Doing business as

Locations

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1528640760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 WAYZATA BLVD E # 162",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911935",
            "telephone_number": "612-702-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 W 35TH ST",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263853",
            "telephone_number": "612-702-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVIRA HEALTH URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "CHRISTY",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "612-702-5420",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1396272159",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1598173577",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kavira Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gaurav Reddy Katta, MD
• David Allen Katz, DDS
• Samuel Joshua Katz, DO
• Amy Lauren Kaufman, MD
• Shana Kaufman, MA, CCC-SLP
• Maria Kelley Kearney, OTR/L
• Sarah Kearney
• Sally Keckeisen
• Shea Keenan
• Preeti M Keer, PT

• Family Nurse Practitioner in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.