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LINDSEY KOTERBA
NPI 1417482290
Nurse Practitioner - Adult Health in St Louis Park, MN

Active since April 28, 2017
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416(952) 993-1000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 12, 2017 and 1 more (4 updates tracked since 2017).

About Lindsey Koterba NPPES

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

LINDSEY KOTERBA (NPI 1417482290) is an individual adult health provider in St Louis Park, Minnesota, licensed in Minnesota (5132) and active in the NPI registry since April 2017. She maintains a secondary practice location in Shakopee.

NPPES Registry Identity

NPI1417482290
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLINDSEY KOTERBA
Location Address3850 PARK NICOLLET BLVDSt Louis Park, MN 55416-2527
Mailing Address8038 Spring Lake LnShakopee, MN 55379-8529 · (952) 356-6370
Phone(952) 993-1000
Sole ProprietorNo
Enumeration DateApril 28, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1417482290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MN · 5132
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 5132 (MN)
3850 PARK NICOLLET BLVD, St Louis Park, MN 55416
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Secondary Practice Location 1

Location 18038 Spring Lake LnShakopee, MN 55379-8529 · Phone (952) 356-6370

Other Identifiers 1

Medicaid5132MN

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.

ELISABETH JEAN MCCLEAN MD
Family Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 883-1000
AMY VANDENBERG PA-C
Physician Assistant
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 883-1000
KELSEY WIDMYER ISRAELSON PA
Physician Assistant
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 883-1000
KARI MILLER
Family Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3512
SARAH EVERT
Internal Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3025
DR. WAYNE D LIEBHARD M.D.
Family Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3025
PATRICK MUELLER
Pediatrics
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3298
PARK NICOLLET HEALTH CARE PRODUCTS
Durable Medical Equipment & Medical Supplies
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-1330

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 Lindsey Koterba's NPI number?

The NPI number for Lindsey Koterba is 1417482290. It was assigned to this individual provider in the NPPES registry on April 28, 2017.

Where is Lindsey Koterba located?

Lindsey Koterba practices at 3850 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (952) 993-1000.

What is Lindsey Koterba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Lindsey Koterba was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.