Pamela Kellogg, PHN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

R120874-6 Issued in MN

Practice address

1301 18TH Ave NW Ste a
Austin, MN 55912-1988

Phone

(507) 437-9770

Fax

(507) 434-2695

NPI assigned

Nov 2, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1568762904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 18TH AVE NW STE A",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559121988",
            "telephone_number": "507-437-9770",
            "fax_number": "507-434-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 18TH AVE NW STE A",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559121988",
            "telephone_number": "507-437-9770",
            "fax_number": "507-434-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "PAMELA",
        "name_prefix": "Ms.",
        "credential": "PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MN",
            "license": "R120874-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wei-Lin Jung, M.D.
• Herman Joseph Junker, M.D.
• Alice Marie Kaasa, CNP
• Erin Kastl, DO
• Lawrence Ray Keenan, M.D.
• Kevin and Sandy Anderson, LLC
• Stephanie Ann Kimmes, APRN CNP
• Harish Aroor Kinni, M.D.
• Anika Lin Kinniry
• John Charles Kluczny, RPH

• Community Health Registered Nurse in Austin, MN
• Providers in Austin, MN by specialty
• Community Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.