Individual provider Active NPI

Rachel Marie Mrnak, RN

  • Registered Nurse
  • Albertville, MN
National Provider Identifier
1962941153
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R-243859-9 Issued in MN
Practice address
5970 Kalland Cir NE
Albertville, MN 55301-9612
Phone
(612) 930-8765
NPI assigned
Feb 21, 2017
Last updated
Feb 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R-243859-9 MN Primary

Addresses

Primary practice location

5970 Kalland Cir NE
Albertville, MN 55301-9612

Mailing address

5970 Kalland Cir NE
Albertville, MN 55301-9612
Phone (612) 930-8765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R-243859-9MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1962941153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5970 KALLAND CIR NE",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "553019612",
            "telephone_number": "612-930-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 KALLAND CIR NE",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "553019612",
            "telephone_number": "612-930-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRNAK",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R-243859-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.