Victoria Ann Kyarsgaard

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10586 Issued in MN

Practice address

600 Central Ave E
Saint Michael, MN 55376-9632

Phone

(763) 497-6632

NPI assigned

Aug 9, 2023

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)

Enrolled

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1689357303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 COUNTY ROAD 116",
            "city": "CORCORAN",
            "state": "MN",
            "postal_code": "553409689",
            "telephone_number": "612-812-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE E",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553769632",
            "telephone_number": "763-497-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYARSGAARD",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "10586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Catherine Klingsporn
• Brita M Koivisto, PA-C
• Marissa Kovensky, MSW, LGSW
• Stacy Marie Kriese, LADC, LPCC
• Christina Marie Kurtz
• Kimberly Lamine
• Mary Lange, LICSW
• Maurita Sue Lehman
• John Leigh, DC
• Leo Homecare Wellness LLC

• Family Nurse Practitioner in Saint Michael, MN
• Providers in Saint Michael, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.