Individual provider Active NPI

Kristin Mae Mahlstedt, LPN

  • Licensed Practical Nurse
  • Buffalo, MN
National Provider Identifier
1861947582
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L-080798-6 Issued in MN
Practice address
25 1St Ave NE Ste 100
Buffalo, MN 55313-1598
Phone
(612) 210-7724
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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-080798-6 MN Primary

Addresses

Primary practice location

25 1St Ave NE Ste 100
Buffalo, MN 55313-1598

Mailing address

25 1St Ave NE Ste 100
Buffalo, MN 55313-1598

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-080798-6MNMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Adara Home Health, Inc. 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": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1861947582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 1ST AVE NE STE 100",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 1ST AVE NE STE 100",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131598",
            "telephone_number": "612-210-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLSTEDT",
        "first_name": "KRISTIN",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L-080798-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.