Individual provider Active NPI

Kayla Margaret Nelson, PHN

  • Community Health Registered Nurse
  • Alexandria, MN
National Provider Identifier
1801188461
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
R189598-4 Issued in MN
Practice address
725 Elm St
Suite 1200
Alexandria, MN 56308-1760
Phone
(320) 763-6018
Fax
(320) 763-4127
NPI assigned
May 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X R189598-4 MN Primary

Addresses

Primary practice location

725 Elm St
Suite 1200
Alexandria, MN 56308-1760

Mailing address

725 Elm St
Suite 1200
Alexandria, MN 56308-1760
Phone (320) 763-6018

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

LicenseStateTypeSpecialty
R189598-4MNMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
County of Douglas Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1801188461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 ELM ST",
            "address_2": "SUITE 1200",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081760",
            "telephone_number": "320-763-6018",
            "fax_number": "320-763-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 ELM ST",
            "address_2": "SUITE 1200",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081760",
            "telephone_number": "320-763-6018",
            "fax_number": "320-763-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KAYLA",
        "middle_name": "MARGARET",
        "credential": "PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MN",
            "license": "R189598-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.