Individual provider Active NPI

Kayla Brown Albrecht, DNP, CPNP-PC, CCRN

  • Pediatric Nurse Practitioner
  • Vadnais Heights, MN
National Provider Identifier
1649008848
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
11785 Issued in MN
Practice address
3555 Willow Lake Blvd Ste 140
Vadnais Heights, MN 55110-4462
Phone
(651) 770-2124
NPI assigned
Jul 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 11785 MN Primary

Addresses

Primary practice location

3555 Willow Lake Blvd Ste 140
Vadnais Heights, MN 55110-4462

Mailing address

9356 73Rd St S
Cottage Grove, MN 55016-2266
Phone (651) 263-3165

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11785MNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Lights Pediatric & Adolescent Medicine PastSince Jul 28, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1649008848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9356 73RD ST S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550162266",
            "telephone_number": "651-263-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 WILLOW LAKE BLVD STE 140",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551104462",
            "telephone_number": "651-770-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBRECHT",
        "first_name": "KAYLA",
        "middle_name": "BROWN",
        "credential": "DNP, CPNP-PC, CCRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "11785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vadnais Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.