Active NPI
Kristen Ann Nordahl, CNM
- Advanced Practice Midwife
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- Practice address
- 1687 Woodlane Dr
Woodbury, MN 55125-3045 - Phone
- (651) 600-3035
- NPI assigned
- Jan 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | MN | Primary |
Addresses
Primary practice location
1687 Woodlane Dr
Woodbury, MN 55125-3045
Mailing address
6936 Sherwood Rd
Woodbury, MN 55125-2484
Phone (715) 896-1989
Other practice location 1
2603 White Bear Ave N
Maplewood, MN 55109-5110
Phone (651) 600-3035
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2603 White Bear Ave N
Maplewood, MN 55109-5110
Phone (651) 600-3035
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 573 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Healthcare for Women, PA | Current | Accepting new patients | |
| Minnesota Women'S Care, P.a. | Current | Accepting new patients | |
| Healtheast St. John'S Hospital | Past | Accepting new patients | |
| Healtheast Woodwinds Hospital | Past | Accepting new patients |
Locations
15000 Garrett Ave
Apple Valley, MN 55124
2603 White Bear Ave N
Saint Paul, MN 55109
Phone (651) 209-8125
1687 Woodlane Dr
Woodbury, MN 55125
Phone (651) 209-6685
1687 Woodlane Dr
Ste 101
Woodbury, MN 55125
Phone (651) 209-6263
Interoperability endpoints
- kristen.nordahl@mwc.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/FAHCDA
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Maplwood, MN
- NPI 1518221779
-
- Obstetrics & Gynecology Physician
- Woodbury, MN
- NPI 1841235595
-
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1972374379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6936 SHERWOOD RD",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252484",
"telephone_number": "715-896-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1687 WOODLANE DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551253045",
"telephone_number": "651-600-3035"
}
],
"practiceLocations": [
{
"address_1": "2603 White Bear Ave N",
"address_purpose": "LOCATION",
"city": "Maplewood",
"state": "MN",
"postal_code": "551095110",
"country_code": "US",
"telephone_number": "651-600-3035",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORDAHL",
"first_name": "KRISTEN",
"middle_name": "ANN",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.