Marcea Edith Kjervik, R.N.,M.S.,C.S.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R0938347 Issued in MN

Practice address

1919 University Ave W
Suite 200
Saint Paul, MN 55104-3453

Phone

(651) 266-7999

Fax

(651) 266-7850

NPI assigned

Jan 2, 2007

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)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982761763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5817 CREEK VALLEY RD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554391211",
            "telephone_number": "952-941-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 UNIVERSITY AVE W",
            "address_2": "SUITE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043453",
            "telephone_number": "651-266-7999",
            "fax_number": "651-266-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KJERVIK",
        "first_name": "MARCEA",
        "middle_name": "EDITH",
        "name_prefix": "Ms.",
        "credential": "R.N.,M.S.,C.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "R0938347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Kittleson, OTR
• Lisa Rindal Kittleson, OTR/L
• Stephanie Kitzhaber, LICSW
• Meia Joyce Kjellberg, DDS
• Rachel Lynn Kjelsberg, RN
• Nathan Daniel Kjolhaug, DDS
• Tamara L Klabon, SLP
• Hugo Klaers, DPT
• Martha Klager, MD
• Michael David Klajda, MD

• Psychiatric/Mental Health Nurse Practitioner in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.