KELLY USITALO (NPI# 1437639614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437639614 |
| Entity Type | Individual |
| Full Name | KELLY USITALO |
| Credential | NP |
| Practice Address |
913 E 26th Street Piper Building Suite 401 Minneapolis MN 55407 |
| Mailing Address |
653 19th Ave Ne Minneapolis MN 55418-4441 |
| Practice Telephone | 6128637501 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6080 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
913 E 26TH STREET PIPER BUILDING SUITE 401 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| 1336664804 | Heidi M Morrisey | Nurse Practitioner | 800 East 28th St W, Minneapolis, MN 55407 | 2017-08-07 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786312 | Peter Wahl | Nurse Practitioner | 4652 Lyndale Ave S, Minneapolis, MN 55419-5302 | 2020-09-28 |
| 1356951552 | Madelyn Jayne Argo | Nurse Practitioner | 1720 Victory Memorial Dr, Minneapolis, MN 55412-1239 | 2020-08-03 |
| 1356963789 | Kersten Larayne Bailey | Nurse Practitioner | 2958 Lincoln St Ne, Minneapolis, MN 55418-2236 | 2020-05-07 |
| 1649804519 | Ifrah Abdi Abdullahi | Nurse Practitioner | 620 E Franklin Ave Apt 413, Minneapolis, MN 55404-3293 | 2020-02-28 |
| 1821645342 | Kelsey Middlestaedt | Nurse Practitioner | 2525 Chicago Ave Ste 32-t5, Minneapolis, MN 55404-4518 | 2019-08-20 |
| 1720546773 | Erika Lindsey Kuis | Nurse Practitioner | 918 W Lake St, Minneapolis, MN 55408-2857 | 2019-03-08 |
| 1588176028 | Sylvie Adjoko Gaba | Nurse Practitioner | 100 South Fifth Street 19th Floor, Minneapolis, MN 55402-5199 | 2017-10-24 |
| 1336664804 | Heidi M Morrisey | Nurse Practitioner | 800 East 28th St W, Minneapolis, MN 55407 | 2017-08-07 |
| 1275073181 | Yellow Coriander, Psc | Nurse Practitioner | 60 South 6th Street, Suite 2800, Minneapolis, MN 55402 | 2017-02-27 |
| 1811442569 | Shawna Doyle | Nurse Practitioner | 701 Washington Ave N, Ste 111-321, Minneapolis, MN 55401-2822 | 2016-08-23 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on KELLY USITALO.
| 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.