DR. KATHERINE ELIZABETH KRUSE (NPI# 1225340565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225340565 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE ELIZABETH KRUSE |
| Credential | M.D. |
| Practice Address |
2530 Chicago Ave Ste 400 Minneapolis MN 55404-4387 |
| Mailing Address |
4925 Chicago Ave. Minneapolis MN 55417 |
| Practice Telephone | 6128133300 |
| Practice Fax Number | 6128133349 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 62716 | MN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 4301096889 | MI | Allopathic & Osteopathic Physicians |
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
62716 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Monroe Ave Nw, Grand Rapids, MI 495031455 | 6163919377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518407774 | Katherine Kruse | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2017-03-06 |
| 1609168137 | Katherine Idell Thompson Kruse | Massage Therapist | 4326 Sw Kanan Dr, Portland, OR 97221-3441 | 2011-05-02 |
| 1285807719 | Katherine Kruse | Pediatrics | 4211 Fairfax Corner East Ave, Suite 225, Fairfax, VA 22030-8622 | 2008-04-04 |
| Street Address |
2530 CHICAGO AVE STE 400 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-4387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639170418 | Kenneth K Maslonka | Pediatrics | 2530 Chicago Ave Ste 400, Minneapolis, MN 55404-4387 | 2005-08-03 |
| 1659820264 | Stacy Reller | Nurse Practitioner | 2530 Chicago Ave Ste 400, Minneapolis, MN 55404 | 2016-09-23 |
| 1659799351 | Brian Jeffrey Carroll | Pediatrics | 2530 Chicago Ave Ste 400, Minneapolis, MN 55404-4387 | 2014-03-31 |
| 1184062663 | Nital Patel | Pediatrics | 2530 Chicago Ave Ste 400, Minneapolis, MN 55404-4387 | 2013-06-06 |
| 1144580424 | Ashley Elizabeth Wilson | Pediatrics | 2530 Chicago Ave Ste 400, Minneapolis, MN 55404 | 2012-05-21 |
| 1326306309 | Nandini Kataria | Pediatrics | 2530 Chicago Ave Ste 400, Minneapolis, MN 55404 | 2012-04-27 |
| 1447525514 | Erin Flynn | Pediatrics | 2530 Chicago Ave Ste 400, Minneapolis, MN 55404 | 2012-03-21 |
| 1407148356 | Alicia M Teagarden | Pediatrics | 2530 Chicago Ave Ste 400, Minneapolis, MN 55404 | 2011-05-11 |
| 1215230354 | Kendall Biallas Baumgartner | Nurse Practitioner | 2530 Chicago Ave Ste 400, Minneapolis, MN 55404-4387 | 2010-12-13 |
| 1609197102 | Zahraa Al-lawati | Pediatrics | 2530 Chicago Ave Ste 400, Minneapolis, MN 55404-4387 | 2010-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497199046 | Julia Heneghan | Pediatrics | 2450 Riverside Ave Fl 5, Minneapolis, MN 55454-1450 | 2013-04-25 |
| 1972710143 | Jeffrey Edward Nowak | Pediatrics | 2530 Chicago Avenue South, Suite 400, Minneapolis, MN 55404-4387 | 2007-05-17 |
| 1912993049 | Caroline George | Pediatrics | 2450 Riverside Ave S0, Center for Pediatric Blood and Marrow Transplation, Minneapolis, MN 55454-1400 | 2005-09-23 |
| 1639170418 | Kenneth K Maslonka | Pediatrics | 2530 Chicago Ave Ste 400, Minneapolis, MN 55404-4387 | 2005-08-03 |
| 1437150414 | John F Fugate | Pediatrics | 2530 Chicago Ave S, Suite 400, Minneapolis, MN 55404-4387 | 2005-08-02 |
| 1104364116 | Hadi Mohseni-bod | Pediatrics | 2530 Chicago Ave, Suite 400, Minneapolis, MN 55404-4289 | 2017-02-09 |
| 1891045258 | Sacha Kumar | Pediatrics | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2012-09-13 |
| 1144580424 | Ashley Elizabeth Wilson | Pediatrics | 2530 Chicago Ave Ste 400, Minneapolis, MN 55404 | 2012-05-21 |
| 1447525514 | Erin Flynn | Pediatrics | 2530 Chicago Ave Ste 400, Minneapolis, MN 55404 | 2012-03-21 |
| 1407148356 | Alicia M Teagarden | Pediatrics | 2530 Chicago Ave Ste 400, Minneapolis, MN 55404 | 2011-05-11 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on DR. KATHERINE ELIZABETH KRUSE.
| 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.