Katherine Marie Estrada, MSN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R-217513-7 Issued in MN

Practice address

10081 Dogwood St NW Ste 100
Coon Rapids, MN 55448-5282

Phone

(763) 783-3722

Fax

(763) 783-7944

NPI assigned

May 12, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

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.

• Yellow Coriander PSC

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1841667672
  NPD (past)
• Fort Wayne Pediatrics, PC

  • Pediatrics Physician
  • Fort Wayne, IN
  • NPI 1063595536
  NPD (past)

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881828358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10081 DOGWOOD ST NW STE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554485282",
            "telephone_number": "763-783-3722",
            "fax_number": "763-783-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10081 DOGWOOD ST NW STE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554485282",
            "telephone_number": "763-783-3722",
            "fax_number": "763-783-7944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 Quincy St NE",
            "address_2": "Yellow Coriander, PSC",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554132317",
            "country_code": "US",
            "telephone_number": "888-592-6117 x702",
            "fax_number": "612-437-4526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "721 Quincy St NE",
            "address_2": "Yellow Coriander, PSC",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554132317",
            "country_code": "US",
            "telephone_number": "888-592-6117 x702",
            "fax_number": "612-437-4526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VT",
            "license": "101.0047176",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "R-217513-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Douglas Erickson, M.D.
• Samantha Erickson, M.S. CCC-SLP
• Timothy Erickson, DPT
• John A Erlandson, CRNA
• Jordan T Estes, DO
• Rachel Ethen, PT, DPT
• Emily Eull
• Carly Michelle Evans, MD
• Evergreen Home Healthcare Services, LLC
• Robert Ezike, SA-C, CSA

• Pediatric Nurse Practitioner in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Pediatric Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.