Krista Ann Donabauer, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2416980 Issued in MN

Practice address

13620 302ND Ave NW
Princeton, MN 55371-3728

Phone

(763) 301-9207

NPI assigned

Sep 29, 2020

Last updated

Sep 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1932716461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13620 302ND AVE NW",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553713728",
            "telephone_number": "763-301-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 302ND AVE NW",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553713728",
            "telephone_number": "763-301-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONABAUER",
        "first_name": "KRISTA",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2416980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy McIntosh Day, M.S.W., L.I.C.S.W.
• Veronica Deglman, LMFT
• Stephen Destefano
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• Dr Philip J Lingle LTD
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• Edina Eye Physicians and Surgeons PA

• Registered Nurse in Princeton, MN
• Providers in Princeton, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.