Active NPI
Hannah L. Kull, A.P.R.N.
- Family Nurse Practitioner
- West St Paul, MN
National Provider Identifier
1861639205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R192663-3
- Practice address
- 1547 Livingston Ave
West St Paul, MN 55118-3411 - Phone
- (651) 726-9500
- NPI assigned
- Jan 7, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R192663-3 | MN | Primary |
| Family Nurse Practitioner | 363LF0000X | 5346315062 | KS |
Addresses
Primary practice location
1547 Livingston Ave
West St Paul, MN 55118-3411
Mailing address
1397 Scheffer Ave
Saint Paul, MN 55116-2245
Phone (913) 544-6154
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5346315062 | KS | MD | Family Nurse Practitioner |
| R192663-3 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Clinic Network | Current | Accepting new patients | |
| Children'S Clinic Network | Current | Accepting new patients | |
| St Paul Allergy & Asthma Clinic P.a. | Past | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
1547 Livingston Ave
West St Paul, MN 55118
Phone (651) 451-8050
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJBIAD
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Hugo, MN
- NPI 1447529235
-
- Primary Care Clinic/Center
- Brooklyn Park, MN
- NPI 1588522668
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
-
- Allergy & Immunology Physician
- Saint Paul, MN
- NPI 1952401804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425427200000",
"number": "1861639205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1397 SCHEFFER AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551162245",
"telephone_number": "913-544-6154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1547 LIVINGSTON AVE",
"city": "WEST ST PAUL",
"state": "MN",
"postal_code": "551183411",
"telephone_number": "651-726-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULL",
"first_name": "HANNAH",
"middle_name": "L.",
"credential": "A.P.R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-07",
"last_updated": "2015-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R192663-3",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "5346315062",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West St Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.