Kathryne Elizabeth Sanders, MEQ., LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP 1847 Issued in MN

Practice address

585 Heinel Dr
Roseville, MN 55113-2108

Phone

(651) 490-1126

NPI assigned

Sep 28, 2006

Last updated

Nov 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathryne Elizabeth Loucks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1578655478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 HEINEL DR",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132108",
            "telephone_number": "651-490-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 HEINEL DR",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132108",
            "telephone_number": "651-490-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KATHRYNE",
        "middle_name": "ELIZABETH",
        "credential": "MEQ., LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP 1847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYNE",
            "last_name": "LOUCKS",
            "middle_name": "ELIZABETH",
            "credential": "M.EQ.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Eric Sage Salman, P.A.C
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• Abas Salad Samatar
• Khalid Samatar
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• Kayla Emily Sather, RD
• Michael Saucerman, LRT

• Psychologist in Roseville, MN
• Providers in Roseville, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.