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Active NPI 1831934611 Individual Practitioner Female Practitioner

Killeen Prater

Licensed Practical Nurse • Edina, MN

Professional Overview & Biography Verified Profile Summary

Killeen Prater is a registered healthcare professional specializing in Licensed Practical Nurse in Edina, MN. Practice services are available at 4510 77TH ST W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4510 77th St W

Edina, MN 554355505

Telephone 9528268475

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Edina, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Edina, MN (881 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-25
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MN 825308

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Bonsan Saddiq , CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033898358

Certified Nurse Practitioner

Robert Niehoff , LMFT

Marriage & Family Therapist

NPI 1063996080

Licensed Marriage and Family Therapist

Bailey Nygaard , RN

Registered Nurse

NPI 1124844485

Registered Nurse

Kelly Tyer , LMFT

Marriage & Family Therapist

NPI 1215281597

Licensed Marriage and Family Therapist

Dr. Dawn Blindauer , DNP, APRN, CNP

Nurse Practitioner - Family

NPI 1225683618

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. Trisha Nelson , MD

Psychiatry & Neurology - Psychiatry

NPI 1235756941

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 25, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2024

Registered at 4510 77TH ST W, EDINA, MN 554355505 (Tel: 9528268475)

📍
Updated Business Mailing Address June 25, 2024

Registered at 405 15TH AVE SE, MINNEAPOLIS, MN 554142011

👤
Provider Name / Credentials Updated June 25, 2024

Recorded as KILLEEN PRATER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2024

Licensed Practical Nurse (License #825308 in MN)

🟢
Initial NPI Registration & Enumeration June 25, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831934611
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2024
Last Update: June 25, 2024
Sole Proprietor: Yes

Mailing Address

405 15th Ave Se

Minneapolis, MN 554142011

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.