Individual provider Active NPI

Katherine Persing, RN

  • Registered Nurse
  • Minneapolis, MN
National Provider Identifier
1629745070
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
206660-2 Issued in MN
Practice address
245 Clifton Ave
Minneapolis, MN 55403-3467
Phone
(612) 870-3787
Fax
(612) 870-3789
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 206660-2 MN Primary

Addresses

Primary practice location

245 Clifton Ave
Minneapolis, MN 55403-3467

Mailing address

245 Clifton Ave
Minneapolis, MN 55403-3467
Phone (612) 870-3787

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
206660-2MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1629745070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CLIFTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033467",
            "telephone_number": "612-870-3787",
            "fax_number": "612-870-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CLIFTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033467",
            "telephone_number": "612-870-3787",
            "fax_number": "612-870-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSING",
        "first_name": "KATHERINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "206660-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.