Joanna Kellin

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

R-185092-9 Issued in MN

Practice address

712 Minnesota Ave
Detroit Lakes, MN 56501-3035

Phone

(218) 847-5628

NPI assigned

Nov 5, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Becker County

  • Public Health or Welfare Agency
  • Detroit Lakes, MN
  • NPI 1164512372
  NPD (past)
• Becker County Human Services

  • Community/Behavioral Health Agency
  • Detroit Lakes, MN
  • NPI 1518284272
  NPD (past)

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1578992020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 MINNESOTA AVE",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013035",
            "telephone_number": "218-847-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 MINNESOTA AVE",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013035",
            "telephone_number": "218-847-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLIN",
        "first_name": "JOANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MN",
            "license": "R-185092-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbe Kaiser
• Tess Kalberer, OTR/L
• Carl N. Kaster, MD
• Julie A Kauffman, RPH
• Tracy L Keller, PT
• Brendan S Kelly, O.D.
• Hannah Kelly
• Monica Kemper
• April Ketelhut
• Heather A Kiebke, DPT

• Community Health Registered Nurse in Detroit Lakes, MN
• Providers in Detroit Lakes, 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 5, 2013; 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.