Organization Active NPI

CR Infusion Specialists

  • Home Health Registered Nurse
  • Cedar Rapids, IA
National Provider Identifier
1609534478
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
CR INFUSION SPECIALISTS
Practice address
1615 Grande Ave SE
Cedar Rapids, IA 52403-2221
Phone
(319) 777-4311
NPI assigned
Nov 29, 2021
Last updated
Nov 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Authorized official

Name
Mrs. Shari Lynn Kvidahl, BSN-RNNPI 1912679655
Title
Owner
Phone
(319) 777-4311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X
Continence Care Registered Nurse 163WC2100X
General Practice Registered Nurse 163WG0000X
Gerontology Registered Nurse 163WG0600X
Home Health Registered Nurse 163WH0200X Primary
Infection Control Registered Nurse 163WI0600X
Rehabilitation Registered Nurse 163WR0400X
Wound Care Registered Nurse 163WW0000X
Occupational Health Registered Nurse 163WX0106X
Orthopedic Registered Nurse 163WX0800X
Homemaker 376J00000X
Health & Wellness Coach 171400000X

Addresses

Primary practice location

1615 Grande Ave SE
Cedar Rapids, IA 52403-2221

Mailing address

1615 Grande Ave SE
Cedar Rapids, IA 52403-2221
Phone (319) 777-4311

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1609534478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 GRANDE AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032221",
            "telephone_number": "319-777-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 GRANDE AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032221",
            "telephone_number": "319-777-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CR INFUSION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "KVIDAHL",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-777-4311",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN-RN"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WX0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.