KAVIRA HEALTH URGENT CARE LLC NPI 1528640760

NPI Information

NPI: 1528640760
Provider Name: KAVIRA HEALTH URGENT CARE LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 24D2210366

Address:
8530 W 35TH ST
ST LOUIS PARK, MN
ZIP 55426
Phone: (612) 702-5420
Get Directions

KAVIRA HEALTH URGENT CARE LLC is a family nurse practitioner in St Louis Park, MN. KAVIRA HEALTH URGENT CARE LLC NPI is 1528640760. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8530 W 35TH ST
ST LOUIS PARK, MN
ZIP 55426-853
Phone: (612) 702-5420

The provider's authorized official is Kayla Nicole Christy .
The authorized official title is Clinical Director and has the following contact phone number (612) 702-5420.

The CLIA number assigned to this NPI record is 24D2210366 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2021 and was last updated on 4/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1598173577	OTHER	MINNESOTA	INDIVIDUAL NPI
2	1396272159	OTHER	MINNESOTA	INDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »