Active NPI
Kathryn an Greenbaum Hunter, DVM
- Veterinarian
- Woodbury, MN
National Provider Identifier
1609093863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 151-89
- Practice address
- 2201 Ventura Dr
Woodbury, MN 55125-4337 - Phone
- (651) 578-3290
- Fax
- (651) 578-3261
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 151-89 | MN | Primary |
Addresses
Primary practice location
2201 Ventura Dr
Woodbury, MN 55125-4337
Mailing address
2049 Oakridge St
Saint Paul, MN 55119-5334
Phone (651) 578-3290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151-89 | Other | MN | STATE LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151-89 | MN | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609093863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2049 OAKRIDGE ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551195334",
"telephone_number": "651-578-3290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 VENTURA DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254337",
"telephone_number": "651-578-3290",
"fax_number": "651-578-3261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "KATHRYN AN",
"middle_name": "GREENBAUM",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "MN",
"license": "151-89",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "151-89",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.