Individual provider Active NPI

Catherine Adhikary, APRN

  • Pediatric Nurse Practitioner
  • Plymouth, MN
National Provider Identifier
1952097503
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
202223551 Issued in MN
Practice address
2855 Campus Dr Ste 350
Plymouth, MN 55441-2658
Phone
(612) 743-7245
NPI assigned
Apr 17, 2023
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 202223551 MN Primary

Addresses

Primary practice location

2855 Campus Dr Ste 350
Plymouth, MN 55441-2658

Mailing address

2855 Campus Dr Ste 350
Plymouth, MN 55441-2658
Phone (612) 743-7245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231211001380 MN Practitioner - Nurse Practitioner 0941659312 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
202223551MNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Clinic Network CurrentSince Sep 4, 2023 Accepting new patients
Children's Clinic Network Current Accepting new patients
Children's Clinic Network CurrentSince Sep 4, 2023 Accepting new patients
Partners in Pediatrics, LTD. Pediatrics Past Accepting new patients
Metropolitan Pediatric Specialists, P.a. Past Accepting new patients

Locations

8500 Edinbrook Pkwy
Brooklyn Park, MN 55443
Phone (763) 425-1211

12720 Bass Lake Rd
Maple Grove, MN 55369
Phone (763) 278-0804

6060 Clearwater Dr
Ste 210
Minnetonka, MN 55343
Phone (763) 520-1200

5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691

3910 Excelsior Blvd
St Louis Park, MN 55416
Phone (952) 562-8787

1547 Livingston Ave
West St Paul, MN 55118
Phone (651) 451-8050

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1952097503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 CAMPUS DR STE 350",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412658",
            "telephone_number": "612-743-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 CAMPUS DR STE 350",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412658",
            "telephone_number": "612-743-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADHIKARY",
        "first_name": "CATHERINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "202223551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.