Kelsey Sorensen LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

KELSEY SORENSEN LLC

Doing business as

Northern Oak Wellness

Practice address

9315 Evergreen Blvd NW
Coon Rapids, MN 55433

Phone

(612) 444-2987

NPI assigned

Jul 7, 2022

Last updated

Jul 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelsey Sorensen, PA-CNPI 1972022549

Title

Owner

Phone

(612) 444-2897

Specialties & licenses 1

Addresses

Other names 1

• Northern Oak Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelsey Kay Sorensen, PA

  • Physician Assistant
  • Cranston, RI
  • NPI 1972022549
  NPD Authorized official

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1932832854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 COUNTY ROAD 10 NE # 189",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554342331",
            "telephone_number": "612-367-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9315 EVERGREEN BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55433",
            "telephone_number": "612-444-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELSEY SORENSEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-444-2897",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Oak Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northern Oak Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Tarlue Keita, NP
• Curtis Lee Keller, MD
• Erika Keller
• Birgit Olsen Kelly, LICSW
• Suzanne Maxine Kelly, LMFT
• Amanda Kempa
• James Kennedy
• Jenneh Kennedy
• Michael S Kennedy, CRNA
• Margie Kennelly, DDS

• Psychiatry Physician in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.