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FAIRVIEW
NPI 1740143866
Physician Assistant in Minneapolis, MN

Active since December 05, 2025
2450 RIVERSIDE AVE STE MN213, MINNEAPOLIS, MN 55454(612) 273-3000 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fairview NPPES

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

FAIRVIEW (NPI 1740143866) is a healthcare organization registered as a physician assistant in Minneapolis, Minnesota and active in the NPI registry since December 2025. The organization lists Kaitlin Jane Goulet, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1740143866
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameFAIRVIEW
Location Address2450 RIVERSIDE AVE STE MN213Minneapolis, MN 55454-1450
Mailing Address2450 Riverside Ave Ste Mn213Minneapolis, MN 55454-1450
Phone(612) 273-3000
Organization SubpartNo
Authorized OfficialKaitlin Jane GouletPhysician Assistant · (651) 270-6699
Enumeration DateDecember 5, 2025
NPPES CertifiedDecember 5, 2025
✔ NPI 1740143866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2450 RIVERSIDE AVE STE MN213, Minneapolis, MN 55454
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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

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 Fairview's NPI number?

The NPI number for Fairview is 1740143866. It was assigned to this organization in the NPPES registry on December 5, 2025.

Where is Fairview located?

Fairview is located at 2450 Riverside Ave Ste Mn213, Minneapolis, MN 55454. The listed phone number is (612) 273-3000.

What is Fairview's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Fairview was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.