Active NPI
Emily Koloc
- Registered Nurse
- Norwood Young America, MN
National Provider Identifier
1770934580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R 236538-7
- Practice address
- 124 Railroad St E
Norwood Young America, MN 55368-4500 - Phone
- (952) 457-2720
- NPI assigned
- Jun 23, 2016
- Last updated
- Jun 23, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R 236538-7 | MN | Primary |
Addresses
Primary practice location
124 Railroad St E
Norwood Young America, MN 55368-4500
Mailing address
124 Railroad St E
Norwood Young America, MN 55368-4500
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 |
|---|---|---|---|
| R 236538-7 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1770934580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 RAILROAD ST E",
"city": "NORWOOD YOUNG AMERICA",
"state": "MN",
"postal_code": "553684500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 RAILROAD ST E",
"city": "NORWOOD YOUNG AMERICA",
"state": "MN",
"postal_code": "553684500",
"telephone_number": "952-457-2720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLOC",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R 236538-7",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwood Young America, MN
- City of Norwood Young America (The Harbor at Peace Village)
- Allison Cruse, CCC-SLP
- Marielle Louise Gatenby, ATC
- Erin Rose Jensen
- Samantha Jones, DC
- Amy Marie Hjermstad Lolling, CD(DONA)
- Cara Elizabeth Mach, BCTMB
- Millenium Home Health Care
- Nya Pharmacy LLC (Marsden Pharmacy)
- Peace Villa Inc. (The Haven at Peace Village)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.