Individual provider Active NPI

Kerry Jo Urevig, RN PHD

  • Registered Nurse
  • Fergus Falls, MN
National Provider Identifier
1902015472
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R1050868 Issued in MN
Practice address
160 N 4TH Ave
Fergus Falls, MN 56537-1034
Phone
(218) 998-3778
Fax
(218) 998-3187
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R1050868 MN Primary

Addresses

Primary practice location

160 N 4TH Ave
Fergus Falls, MN 56537-1034

Mailing address

PO Box 1182
800 5TH St S
Walker, MN 56484
Phone (218) 821-9294

Other names 1

  • Mrs. Kerry Jo Biggins Former name

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
Credentials
Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R1050868MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902015472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1182",
            "address_2": "800 5TH ST S",
            "city": "WALKER",
            "state": "MN",
            "postal_code": "56484",
            "telephone_number": "218-821-9294",
            "fax_number": "218-547-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N 4TH AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371034",
            "telephone_number": "218-998-3778",
            "fax_number": "218-998-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UREVIG",
        "first_name": "KERRY",
        "middle_name": "JO",
        "name_prefix": "Miss",
        "credential": "RN PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R1050868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "BIGGINS",
            "middle_name": "JO",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fergus Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.