Active NPI
Deann Thomas-Kvidera, NP
- Adult Health Nurse Practitioner
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R080809-5
- Practice address
- 6405 France Ave S
Suite W200
Edina, MN 55435-2163 - Phone
- (952) 924-9005
- Fax
- (952) 924-0330
- NPI assigned
- Dec 29, 2005
- Last updated
- May 24, 2012
- 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 Health Nurse Practitioner | 363LA2200X | R080809-5 | MN | Primary |
Addresses
Primary practice location
6405 France Ave S
Suite W200
Edina, MN 55435-2163
Mailing address
6405 France Ave S
Suite W200
Edina, MN 55435-2163
Phone (952) 924-9005
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R080809-5 | MN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients |
Locations
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
6405 France Ave S
Ste 200
Edina, MN 55435
Phone (612) 626-7681
2450 Riverside Ave
Ste F140
Minneapolis, MN 55454
Phone (651) 464-4847
400 Stinson Blvd
#2
Minneapolis, MN 55413
Phone (612) 672-2294
516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600
6405 France Ave S
Ste W200
Minneapolis, MN 55435
Phone (952) 836-3700
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
919 Northland Dr
Princeton, MN 55371
Phone (763) 389-3344
5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba M Health Fairview Clinic - Columbia Heights
- Multi-Specialty Clinic/Center
- Columbia Heights, MN
- NPI 1346422318
-
dba M Health Fairview Recovery Clinic
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Eyewear Supplier
- Eagan, MN
- NPI 1811448210
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Emergency Medical Services
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1881671956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 FRANCE AVE S",
"address_2": "SUITE W200",
"city": "EDINA",
"state": "MN",
"postal_code": "554352163",
"telephone_number": "952-924-9005",
"fax_number": "952-924-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 FRANCE AVE S",
"address_2": "SUITE W200",
"city": "EDINA",
"state": "MN",
"postal_code": "554352163",
"telephone_number": "952-924-9005",
"fax_number": "952-924-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS-KVIDERA",
"first_name": "DEANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-29",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MN",
"license": "R080809-5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.