Debra L Adams-Koltes, RN
Individual provider Active NPI Psychiatric/Mental Health Clinical Nurse Specialist · Duluth, MN
NPI 1649876145 · NPPES record last updated Dec 9, 2020
Key facts
- NPI
- 1649876145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X
- License
- R127441-1 (MN)
- Practice address
- 5322 Grand Ave
Duluth, MN 55807-2595 - Phone
- (218) 724-2800
- Fax
- (218) 724-8200
- NPI assigned
- Dec 9, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R127441-1 | MN | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinsura, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | R127441-1 | MN | Yes |
Addresses
Primary practice location
5322 Grand Ave
Duluth, MN 55807-2595
Mailing address
5322 Grand Ave
Duluth, MN 55807-2595
Phone (218) 724-2800
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | debadams@accracare.org | Direct |
Other providers in Duluth, MN
- Accurate Home Care, LLC
- Alissa Dawn Acker
- Ann Martha Ackerman
- Peter Joseph Ackerman
- Jessica Acuna
- Jane Goldfarb Adams
- Jeffrey Lyndon Adams
- Katelyn Marie Adams
- Parker Gibson Adams
- Ruuney Adani
All providers in Duluth, MN · Psychiatric/Mental Health Clinical Nurse Specialist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.