Active NPI
Kaisa J Winckler, HBCE,CNMT
- Health Educator
- Willmar, MN
National Provider Identifier
1770927832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 3030-08
- Practice address
- 228 Terrace Dr SW
Willmar, MN 56201-5228 - Phone
- (320) 979-3617
- NPI assigned
- Apr 19, 2013
- Last updated
- Apr 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 3030-08 | NH | Primary |
| Nuclear Medicine Technology Radiologic Technologist | 2471N0900X | 022145 | SD |
Addresses
Primary practice location
228 Terrace Dr SW
Willmar, MN 56201-5228
Mailing address
228 Terrace Dr SW
Willmar, MN 56201-5228
Phone (320) 979-3617
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3030-08 | NH | MD | Health Educator |
| 022145 | SD | MD | Nuclear Medicine Technology Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366329600000",
"number": "1770927832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 TERRACE DR SW",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562015228",
"telephone_number": "320-979-3617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 TERRACE DR SW",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562015228",
"telephone_number": "320-979-3617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINCKLER",
"first_name": "KAISA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "HBCE,CNMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-19",
"last_updated": "2013-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NH",
"license": "3030-08",
"primary": true
},
{
"code": "2471N0900X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Nuclear Medicine Technology",
"state": "SD",
"license": "022145",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.