Individual provider Active NPI

Jan Elaine Kaste, CNP

  • Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1659671022
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R78296-2 Issued in MN
Practice address
968 Grand Ave
Saint Paul, MN 55105-3014
Phone
(651) 895-2520
NPI assigned
Nov 1, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R78296-2 MN Primary

Addresses

Primary practice location

968 Grand Ave
Saint Paul, MN 55105-3014

Mailing address

968 Grand Ave
St. Paul, MN 55055
Phone (651) 895-2520

Other practice location 1

2828 Chicago Ave
Suite 400
Minneapolis, MN 55407-1544
Phone (612) 863-5390

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
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R78296-2MNMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659671022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 GRAND AVE",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55055",
            "telephone_number": "651-895-2520",
            "fax_number": "651-330-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053014",
            "telephone_number": "651-895-2520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 Chicago Ave",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554071544",
            "country_code": "US",
            "telephone_number": "612-863-5390",
            "fax_number": "612-863-2697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASTE",
        "first_name": "JAN",
        "middle_name": "ELAINE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R78296-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.