Active NPI
CR Infusion Specialists
- Home Health Registered Nurse
- Cedar Rapids, IA
National Provider Identifier
1609534478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shari Lynn Kvidahl, BSN-RN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.