Kayla Lynn Parker, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

8141 Issued in MN

Practice address

23505 Smithtown Rd Ste 110
Excelsior, MN 55331-4542

Phone

(763) 458-9494

Fax

(763) 647-2477

NPI assigned

Apr 16, 2021

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1811578370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23505 SMITHTOWN RD STE 110",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553314542",
            "telephone_number": "763-458-9494",
            "fax_number": "763-647-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23505 SMITHTOWN RD STE 110",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553314542",
            "telephone_number": "763-458-9494",
            "fax_number": "763-647-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KAYLA",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "8141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Rose Oasheim
• Michael Gregory Oasheim
• Yukiko Oda, O.D.
• Mary Omann, DC
• Axel David Osborn, DC
• Kristen L Paulson, P.T.
• Brenda J Payne, CRNA
• Tristan Pennella, DO
• Gina Orourke Peschel, PAC
• Jess Peters

• Family Nurse Practitioner in Excelsior, MN
• Providers in Excelsior, 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 Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.