KYRA DECKER (NPI# 1093134462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093134462 |
| Entity Type | Individual |
| Full Name | KYRA DECKER |
| Credential | MSN, AGACNP-BC |
| Practice Address |
4000 28th Ave S Moorhead MN 56560 |
| Mailing Address |
4000 28th Ave S Moorhead MN 56560-7926 |
| Practice Telephone | 7012343261 |
| Mailing Telephone | 7012343261 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2018-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5522 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 0991102 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
0991102 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4000 28TH AVE S |
| City | MOORHEAD |
| State | MN |
| Zip Code | 56560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124122783 | Sanford Clinic North | Durable Medical Equipment & Medical Supplies | 4000 28th Ave S, Moorhead, MN 56560 | 2006-09-12 |
| 1447772470 | Dustin Joel Czapiewski | Nurse Practitioner | 4000 28th Ave S, Moorhead, MN 56560-7926 | 2017-07-12 |
| 1568996700 | Alyson Dahl | Physician Assistant | 4000 28th Ave S, Moorhead, MN 56560-7926 | 2017-04-14 |
| 1568836781 | Courtney Jo Burgad | Social Worker | 4000 28th Ave S, Moorhead, MN 56560-7926 | 2015-11-27 |
| 1114314093 | Amy Joy Bro | Nurse Practitioner | 4000 28th Ave S, Moorhead, MN 56560-7926 | 2015-04-19 |
| 1073910253 | Laura Fugleberg | Physician Assistant | 4000 28th Ave S, Moorhead, MN 56560-7926 | 2014-12-03 |
| 1205240900 | Amanda Oney | Nurse Practitioner | 4000 28th Ave S, Moorhead, MN 56560 | 2014-06-20 |
| 1760801187 | Natalie Frances Dvorak | Pediatrics | 4000 28th Ave S, Moorhead, MN 56560-7926 | 2014-04-14 |
| 1083992002 | Samantha J Perleberg | Pediatrics | 4000 28th Ave S, Moorhead, MN 56560 | 2011-07-25 |
| 1619288602 | Donald R. Gullicks | Obstetrics & Gynecology | 4000 28th Ave S, Moorhead, MN 56560-7926 | 2010-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
| 1972019727 | Michael Wayne Hilliard | Specialist/Technologist | 649 17th St S, Moorhead, MN 56560 | 2017-12-15 |
| 1508217183 | Kristen Johnson | Nurse Practitioner | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-06-25 |
| 1861877052 | Midwest Mental Health Clinic | Nurse Practitioner | 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 | 2015-07-29 |
| 1083037709 | Drake Counseling Services, Inc. | Clinic/Center | 715 11th Street North, Suite 204, Moorhead, MN 56560 | 2014-01-31 |
| 1710310917 | Lamar Terrell Hill | Social Worker | 420 Center Ave Ste 102, Moorhead, MN 56560 | 2013-08-12 |
| 1982956140 | Lilac Homes Corporation | Assisted Living Facility | 2615 Parkview Dr, Moorhead, MN 56560 | 2012-10-11 |
| 1487918462 | Paige Joy Hanson | Massage Therapist | 805 14th St. So., Msum Wellness Center, Moorhead, MN 56560 | 2012-06-25 |
| 1972809408 | Cslm, LLC | Assisted Living Facility | 2401 South 11th Street, Moorhead, MN 56560 | 2011-02-01 |
| 1972814846 | Paul Michael Fluto | Pharmacist | 3000 Hwy 10 East, Mooehead, MN 56560 | 2010-06-25 |
| Find all providers in zip 56560 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114314093 | Amy Joy Bro | Nurse Practitioner | 4000 28th Ave S, Moorhead, MN 56560-7926 | 2015-04-19 |
| 1184646671 | Rose Mary Eldridge | Nurse Practitioner | 1301 8th St S, Moorhead, MN 56560-3604 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803970 | Kelsey Olson | Nurse Practitioner | 2450 Riverside Ave Fl 9, Minneapolis, MN 55454-1450 | 2020-08-28 |
| 1043821622 | Byron Howard Herdman | Nurse Practitioner | 20671 State Highway 29, Henning, MN 56551-9521 | 2020-08-16 |
| 1568071058 | Miranda Bea Irene Charley | Nurse Practitioner | 510 Water St E, Cannon Falls, MN 55009-1643 | 2020-07-30 |
| 1861001059 | Angelsisters Home Healthcare Servies LLC | Nurse Practitioner | 10001 Butternut Cir N, Brooklyn Park, MN 55443-1864 | 2020-07-24 |
| 1720606544 | Kendra Marie Robida | Nurse Practitioner | 7245 Guider Dr Apt 317, Woodbury, MN 55125-5358 | 2020-07-08 |
| 1568089340 | Emily Abernethy | Nurse Practitioner | 1001 E Superior St Ste 401, Duluth, MN 55802-2229 | 2020-06-29 |
| 1487276556 | Kerriann Godwin | Nurse Practitioner | 842 102nd Ln Ne, Blaine, MN 55434-2642 | 2020-05-12 |
| 1699397851 | School of Health LLC | Nurse Practitioner | 30165 Terryll St, Lindstrom, MN 55045-9310 | 2020-05-11 |
| 1255953626 | Carla Renea Boudoir | Nurse Practitioner | 18342 Kerrville Trl, Lakeville, MN 55044-7310 | 2020-05-08 |
| 1639799745 | Elizabeth Carole Moe | Nurse Practitioner | 2151 Troop Dr, Sartell, MN 56377-4563 | 2020-04-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KYRA DECKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.