Active NPI
Elizabeth Kathryn Herrity, AGACNP-BC
- Acute Care Nurse Practitioner
- Minneapolis, MN
National Provider Identifier
1679923072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- CNP 4582
- Practice address
- 701 Park Ave
Minneapolis, MN 55415 - Phone
- (612) 873-3000
- Fax
- (612) 904-4567
- NPI assigned
- Jun 16, 2016
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | CNP 4582 | MN | Primary |
Addresses
Primary practice location
701 Park Ave
Minneapolis, MN 55415
Mailing address
701 Park Ave
Minneapolis, MN 55415-1623
Phone (602) 300-3409
Other practice location 1
2520 W Medicine Lake Dr
Plymouth, MN 55441-4148
Phone (602) 300-3409
Other practice location 2
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 273-3000
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4582 | MN | MD | Mental Health Counselor |
| CNP 4582 | MN | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1679923072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151623",
"telephone_number": "602-300-3409",
"fax_number": "612-904-4567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55415",
"telephone_number": "612-873-3000",
"fax_number": "612-904-4567"
}
],
"practiceLocations": [
{
"address_1": "2520 W Medicine Lake Dr",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "MN",
"postal_code": "554414148",
"country_code": "US",
"telephone_number": "602-300-3409",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Harvard St SE",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554550363",
"country_code": "US",
"telephone_number": "612-273-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRITY",
"first_name": "ELIZABETH",
"middle_name": "KATHRYN",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-16",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MN",
"license": "CNP 4582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.