Kelly Rheingans, R.N.

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

R 196804-4 Issued in MN

Practice address

3915 Golden Valley Rd
Courage Kenny Advanced Primary Care Clinic
Golden Valley, MN 55422-4249

Phone

(763) 520-0453

Fax

(763) 520-0869

NPI assigned

Mar 6, 2014

Sex

Female

Sole proprietor

No

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": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1972929503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 GOLDEN VALLEY RD",
            "address_2": "COURAGE KENNY ADVANCED PRIMARY CARE CLINIC",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224249",
            "telephone_number": "763-520-0453",
            "fax_number": "763-520-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 GOLDEN VALLEY RD",
            "address_2": "COURAGE KENNY ADVANCED PRIMARY CARE CLINIC",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224249",
            "telephone_number": "763-520-0453",
            "fax_number": "763-520-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEINGANS",
        "first_name": "KELLY",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MN",
            "license": "R 196804-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Care Registered Nurse in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Ambulatory Care Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.