Nicole Kwyzla, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

786803 Issued in MN

Practice address

6001 Egan Dr Ste 150
Savage, MN 55378-4915

Phone

(952) 693-0545

NPI assigned

Mar 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Darnell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• 2Care4U South, LLC

  • Home Health Agency
  • Savage, MN
  • NPI 1376185959
  NPD

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1912757758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 206TH ST W",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550248817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 EGAN DR STE 150",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553784915",
            "telephone_number": "952-693-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWYZLA",
        "first_name": "NICOLE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "786803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "DARNELL",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Ann Krueger
• Jonathan Richard Kuckhahn
• Scott H. Kulstad, ATC
• Bradley Peter Kuntz, DC
• Brent R Kvittem, DDS
• Bonnie Laabs, PHD
• Mimi Lam, M.D.
• Land Health & Wellness
• Ian R. Land., DC
• Terry J Larimer, PA

• Licensed Practical Nurse in Savage, MN
• Providers in Savage, MN by specialty
• Licensed Practical Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.