KATHRYN L PEDERSON
NPI 1174180640
Homemaker in New London, MN

Active since May 21, 2019
201 1ST AVE NE, NEW LONDON, MN 56273(320) 444-5065 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 16, 2021, May 21, 2019 (2 updates tracked since 2019).

About Kathryn L Pederson NPPES

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

KATHRYN L PEDERSON (NPI 1174180640) is an individual homemaker provider in New London, Minnesota and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1174180640
Entity TypeIndividualFemale
Primary Taxonomy376J00000X
Provider Legal NameKATHRYN L PEDERSON
Location Address201 1ST AVE NENew London, MN 56273-9796
Mailing Address201 1st Ave NeNew London, MN 56273-9796 · (320) 444-5065
Sole ProprietorYes
Enumeration DateMay 21, 2019
Last NPPES UpdateJune 16, 20212 updates tracked since enumeration
NPPES CertifiedJune 16, 2021
NPI 1174180640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyHomemakerNursing Service Related Providers
Taxonomy Code376J00000X
Definition

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Also ListedDriverTaxonomy 172A00000X
Also ListedChore ProviderTaxonomy 372500000X
Also ListedAdult CompanionTaxonomy 372600000X
201 1ST AVE NE, New London, MN 56273

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 Kathryn Pederson's NPI number?

The NPI number for Kathryn Pederson is 1174180640. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Kathryn Pederson located?

Kathryn Pederson practices at 201 1st Ave NE, New London, MN 56273. The listed phone number is (320) 444-5065.

What is Kathryn Pederson's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

When was this NPI record last updated?

The NPPES record for Kathryn Pederson was last updated on June 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.