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KAVIRA HEALTH PLLC
NPI 1548128101
Nurse Practitioner - Primary Care in Plymouth, MN

Active since January 13, 2026CLIA Certified · 2 labs
5000 FERNBROOK LN N, PLYMOUTH, MN 55446(612) 702-5420 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 2, 2026, Jan 28, 2026, Jan 13, 2026 (3 updates tracked since 2026).

About Kavira Health Pllc NPPES

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

KAVIRA HEALTH PLLC (NPI 1548128101) is a healthcare organization registered as a primary care in Plymouth, Minnesota and active in the NPI registry since January 2026. The organization holds 2 active CLIA laboratory certificates and lists Kayla Gaffney, Vp Of Clinical Services, as its authorized official.

NPPES Registry Identity

NPI1548128101
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameKAVIRA HEALTH PLLC
Location Address5000 FERNBROOK LN NPlymouth, MN 55446-3482
Mailing Address1161 Wayzata Blvd E # 162Wayzata, MN 55391-1935 · (612) 702-5420 · Fax (763) 363-0333
Phone(612) 702-5420
Organization SubpartNo
Authorized OfficialKayla GaffneyVp Of Clinical Services · (612) 702-5420
Enumeration DateJanuary 13, 2026
Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1548128101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
5000 FERNBROOK LN N, Plymouth, MN 55446
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2336528

Kavira Health · Plymouth, MN
Active · expires Jan 5, 2028
CLIA Number24D2336528
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 6, 2026
Certificate Expiration DateJanuary 5, 2028
Laboratory DirectorMiranda L. Saver
Laboratory Phone(763) 373-3856
Laboratory LocationKavira Health5000 Fernbrook Ln N, Plymouth, MN 55446
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2318768

Kavira Health On Site Nurse · Delano, MN
Active · expires Feb 17, 2027
CLIA Number24D2318768
Laboratory TypeIndependent
Certificate Effective DateFebruary 18, 2025
Certificate Expiration DateFebruary 17, 2027
Laboratory DirectorKayla N. Gaffney
Laboratory Phone(612) 702-5420
Laboratory LocationKavira Health On Site NurseLsi 601 7th St S, Delano, MN 55328
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

GROUP HEALTH PLAN INC
Clinic/Center (Health Service)
5000 FERNBROOK LN N
PLYMOUTH, MN 55446
Hennepin County (651) 748-7515

Frequently Asked Questions

What is KAVIRA HEALTH PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1548128101, enumerated as an "organization" on January 13, 2026.

Where is the provider located?

The provider is located at 5000 FERNBROOK LN N PLYMOUTH, MN 55446 and the phone number is (612) 702-5420.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.