Active NPI
Kathy Tysdal, PSHYCHATRIC RNC
- Adult Psychiatric/Mental Health Registered Nurse
- Ogema, MN
National Provider Identifier
1811943533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- R1566585
- Practice address
- 40520 Co Hwy 34
White Earth Health Center
Ogema, MN 56569 - Phone
- (218) 983-4300
- Fax
- (218) 983-6217
- NPI assigned
- May 25, 2006
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | R1566585 | MN | Primary |
Addresses
Primary practice location
40520 Co Hwy 34
White Earth Health Center
Ogema, MN 56569
Mailing address
24746 Co Hwy 1
Fergus Falls, MN 56537
Phone (218) 739-2753
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 |
|---|---|---|---|
| R1566585 | MN | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1811943533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24746 CO HWY 1",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "56537",
"telephone_number": "218-739-2753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40520 CO HWY 34",
"address_2": "WHITE EARTH HEALTH CENTER",
"city": "OGEMA",
"state": "MN",
"postal_code": "56569",
"telephone_number": "218-983-4300",
"fax_number": "218-983-6217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYSDAL",
"first_name": "KATHY",
"credential": "PSHYCHATRIC RNC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "MN",
"license": "R1566585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogema, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.