Individual provider Active NPI

Kathleen Ann Irons, RN CWOCN

  • Enterostomal Therapy Registered Nurse
  • Eden Prairie, MN
National Provider Identifier
1679754881
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Enterostomal Therapy Registered NurseTaxonomy code 163WE0900X
License
R-129044-0 Issued in MN
Practice address
7060 Springhill Cir
Eden Prairie, MN 55346-2615
Phone
(952) 993-9632
NPI assigned
Nov 15, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Enterostomal Therapy Registered Nurse 163WE0900X R-129044-0 MN Primary

Addresses

Primary practice location

7060 Springhill Cir
Eden Prairie, MN 55346-2615

Mailing address

7060 Springhill Cir
Eden Prairie, MN 55346-2615
Phone (952) 993-9632

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
R-129044-0MNMDEnterostomal Therapy Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1679754881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7060 SPRINGHILL CIR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553462615",
            "telephone_number": "952-993-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7060 SPRINGHILL CIR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553462615",
            "telephone_number": "952-993-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRONS",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN CWOCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0900X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Enterostomal Therapy",
            "state": "MN",
            "license": "R-129044-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.