Kathleen Marie Feldt

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

2465123 Issued in MN

Practice address

1107 NW 4TH St
Grand Rapids, MN 55744-2205

Phone

(218) 326-0095

Fax

(218) 999-0214

NPI assigned

Mar 27, 2024

Last updated

Mar 27, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 2Care4U LLC

  • Home Health Agency
  • Grand Rapids, MN
  • NPI 1366833600
  NPD (past)

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1922859180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 NW 4TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442205",
            "telephone_number": "218-326-0095",
            "fax_number": "218-999-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 NW 4TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442205",
            "telephone_number": "218-326-0095",
            "fax_number": "218-999-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDT",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "2465123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Q Optometric Clinic, Limited
• Fairview Pharmacy Services LLC (Fairview Grand Itasca Clinic MTM)
• Donald Farnsworth, PHD
• FCSL Grand Rapids, LLC (Diamond Willow Assisted Living of Grand Rapids)
• FCSL Grand Rapids, LLC (Diamond Willow Assisted Living of Grand Rapids)
• Grant Ferguson
• Steven Nicholas Fideldy, D.C.
• First Call for Help of Itasca County
• Five Star Living of Grand Rapids, LLC (Diamond Willow)
• Five Star Living of Grand Rapids, LLC (Diamond Willow)

• Home Health Registered Nurse in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.