Individual provider Active NPI

Kaylie Amborn

  • Home Health Registered Nurse
  • Montevideo, MN
National Provider Identifier
1891541256
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
2382043 Issued in MN
Practice address
1505 E Highway 7 Ste 100
Montevideo, MN 56265-1701
Phone
(320) 269-2929
NPI assigned
Apr 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 2382043 MN Primary

Addresses

Primary practice location

1505 E Highway 7 Ste 100
Montevideo, MN 56265-1701

Mailing address

1505 E Highway 7 Ste 100
Montevideo, MN 56265-1701
Phone (320) 269-2929

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
2382043MNMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1891541256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 E HIGHWAY 7 STE 100",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651701",
            "telephone_number": "320-269-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 E HIGHWAY 7 STE 100",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651701",
            "telephone_number": "320-269-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBORN",
        "first_name": "KAYLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "2382043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montevideo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.