Kimberly Jane Hawkins-Pankratz, L.A.D.C

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

303572 Issued in MN

Practice address

13021 Evergreen Dr
Baxter, MN 56425-7439

Phone

(218) 829-9307

NPI assigned

Oct 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1689002123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26864 NORWAY LN",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "564412356",
            "telephone_number": "218-330-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13021 EVERGREEN DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564257439",
            "telephone_number": "218-829-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS-PANKRATZ",
        "first_name": "KIMBERLY",
        "middle_name": "JANE",
        "credential": "L.A.D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula M Hartman, CMT
• Samantha Hartman
• Nicole Hasse, LPCC
• Heather Kae Hatch
• Brian Haug, RPH
• Samantha Heagerty, CMT, CCMT
• Health First Chiropractic of Baxter
• Heartland Recovery Services
• Todd Hebeisen
• Emily Mary Hedlund

• Addiction (Substance Use Disorder) Counselor in Baxter, MN
• Providers in Baxter, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.