Active NPI
Kathryn Sheehan Menne
- Certified Registered Nurse Anesthetist
- Hugo, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R 174611-4
- Practice address
- 4692 Fable Hill Pkwy N
Hugo, MN 55038-3304 - Phone
- (651) 605-1182
- NPI assigned
- Jun 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R 174611-4 | MN | Primary |
Addresses
Primary practice location
4692 Fable Hill Pkwy N
Hugo, MN 55038-3304
Mailing address
4692 Fable Hill Pkwy N
Hugo, MN 55038-3304
Phone (651) 605-1182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 174611-4 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
8650 Hudson Blvd N
Lake Elmo, MN 55042
Phone (651) 561-5651
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256
310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500
400 10th St E
Waconia, MN 55387
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Blaine, MN
- NPI 1265105332
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1659634855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4692 FABLE HILL PKWY N",
"city": "HUGO",
"state": "MN",
"postal_code": "550383304",
"telephone_number": "651-605-1182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4692 FABLE HILL PKWY N",
"city": "HUGO",
"state": "MN",
"postal_code": "550383304",
"telephone_number": "651-605-1182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENNE",
"first_name": "KATHRYN",
"middle_name": "SHEEHAN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R 174611-4",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hugo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.