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KILLEEN PRATER
NPI 1831934611
Licensed Practical Nurse in Edina, MN

Active since June 25, 2024
4510 77TH ST W, EDINA, MN 55435(952) 826-8475 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Killeen Prater NPPES

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

KILLEEN PRATER (NPI 1831934611) is an individual licensed practical nurse in Edina, Minnesota, licensed in Minnesota (825308) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1831934611
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKILLEEN PRATER
Location Address4510 77TH ST WEdina, MN 55435-5505
Mailing Address405 15th Ave SeMinneapolis, MN 55414-2011
Phone(952) 826-8475
Sole ProprietorYes
Enumeration DateJune 25, 2024
NPPES CertifiedJune 25, 2024
✔ NPI 1831934611 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 · 825308
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.
4510 77TH ST W, Edina, MN 55435
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Other Providers at the Same Location NPPES 14

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

JESSICA BELDEN
Registered Nurse (Psychiatric/Mental Health)
4510 77TH ST W
EDINA, MN 55435
Hennepin County (952) 826-8478
KATIE MCCOY MA. LADC, LPCC
Counselor (Mental Health)
4510 77TH ST W
EDINA, MN 55435
Hennepin County (952) 567-6600
MIGUEL LORENZO BUENO RN
Registered Nurse (Psychiatric/Mental Health)
4510 77TH ST W
EDINA, MN 55435
Hennepin County (952) 826-8475
JAMIE PITCHER LICSW, LADC
Counselor (Mental Health)
4510 77TH ST W
EDINA, MN 55435
Hennepin County (612) 987-1849
KIERSTEN MIKAYLA HEMSING LPCC
Counselor (Mental Health)
4510 77TH ST W
EDINA, MN 55435
Hennepin County (952) 567-6600
SYDNEY RAE MOUG LICSW
Social Worker (Clinical)
4510 77TH ST W
EDINA, MN 55435
Hennepin County (952) 567-6600
NICOLE WICKLUND MA, LMFT
Marriage & Family Therapist
4510 77TH ST W
EDINA, MN 55435
Hennepin County (651) 434-9233
HALLEE LUZINSKI CNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4510 77TH ST W
EDINA, MN 55435
Hennepin County (952) 230-9100

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 Killeen Prater's NPI number?

The NPI number for Killeen Prater is 1831934611. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Killeen Prater located?

Killeen Prater practices at 4510 77th St W, Edina, MN 55435. The listed phone number is (952) 826-8475.

What is Killeen Prater'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 Killeen Prater was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.