Individual provider Active NPI

Denise Kulhanek, LPN

  • Licensed Practical Nurse
  • Onamia, MN
National Provider Identifier
1831512243
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L 057204-6 Issued in MN
Practice address
17230 Noopiming Dr
Onamia, MN 56359-4522
Phone
(320) 532-7776
Fax
(320) 532-7524
NPI assigned
Jan 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L 057204-6 MN Primary

Addresses

Primary practice location

17230 Noopiming Dr
Onamia, MN 56359-4522

Mailing address

17230 Noopiming Dr
Onamia, MN 56359-4522
Phone (320) 532-7776

Other identifiers 1

IdentifierTypeStateIssuer
L 057204-6OtherMNMN BOARD OF NURSING

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
L 057204-6MNMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1831512243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17230 NOOPIMING DR",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563594522",
            "telephone_number": "320-532-7776",
            "fax_number": "320-532-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17230 NOOPIMING DR",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563594522",
            "telephone_number": "320-532-7776",
            "fax_number": "320-532-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULHANEK",
        "first_name": "DENISE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L 057204-6",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BOARD OF NURSING",
            "identifier": "L 057204-6",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Onamia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.