1. Home
  2. Directory
  3. Minnesota
  4. Maple Grove
  5. Licensed Practical Nurse
  6. NPI Profile

KACEY RETTERATH LPN
NPI 1114559390
Licensed Practical Nurse in Maple Grove, MN

Active since February 06, 2020
10467 93RD AVE N, MAPLE GROVE, MN 55369(651) 488-4655(651) 488-4656 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kacey Retterath Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KACEY RETTERATH LPN (NPI 1114559390) is an individual licensed practical nurse in Maple Grove, Minnesota, licensed in Minnesota (817248) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1114559390
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKACEY RETTERATHCredential: LPN
Location Address10467 93RD AVE NMaple Grove, MN 55369-4112
Mailing Address10467 93rd Ave NMaple Grove, MN 55369-4112 · (651) 488-4655 · Fax (651) 488-4656
Phone(651) 488-4655
Fax(651) 488-4656
Sole ProprietorNo
Enumeration DateFebruary 6, 2020
✔ NPI 1114559390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MN · 817248
Definition
A licensed practical nurse 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.
10467 93RD AVE N, Maple Grove, MN 55369
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTA BENOIT RN
Registered Nurse
10467 93RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (651) 488-4655
JEREMIAH SOLVESON RN
Registered Nurse
10467 93RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (651) 488-4655
BONNIE GOFF RN
Registered Nurse
10467 93RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (651) 488-4655
REGENCY HOME HEALTHCARE SERVICES LLC
Home Health
10467 93RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (651) 488-4655
AARON REICHARD RN
Registered Nurse
10467 93RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (651) 488-4655
MARK MICHAEL RN
Registered Nurse (Home Health)
10467 93RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (651) 488-4655
EMILY HAGEN RN
Registered Nurse
10467 93RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (651) 488-4655
JOJEAN WOLD RN
Registered Nurse
10467 93RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (651) 488-4655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kacey Retterath's NPI number?

The NPI number for Kacey Retterath is 1114559390. It was assigned to this individual provider in the NPPES registry on February 6, 2020.

Where is Kacey Retterath located?

Kacey Retterath practices at 10467 93rd Ave N, Maple Grove, MN 55369. The listed phone number is (651) 488-4655.

What is Kacey Retterath's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kacey Retterath was last updated on February 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.