ST CATHERINE UNIVERSITY HEALTH AND WELLNESS CENTER
NPI 1891016481
Pediatrics - Adolescent Medicine in Saint Paul, MN
NPI Status: Active since June 17, 2010
Contact Information
2004 RANDOLPH AVE
MAIL #4112
SAINT PAUL, MN
ZIP 55105
Phone: (651) 690-6714
Fax: (651) 690-6188
- Organization
- Pediatrics
- Adolescent Medicine
- Accepts Insurance
- CLIA Number: 24D0667911
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 11-06-2027
About ST CATHERINE UNIVERSITY HEALTH AND WELLNESS CENTER
This page provides the complete NPI Profile along with additional information for St Catherine University Health And Wellness Center, a pediatrician established in Saint Paul, Minnesota operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1891016481 assigned on June 2010. The practitioner's primary taxonomy code is 2080A0000X with license number 40727 (MN). The provider is registered as an organization and their NPI record was last updated 16 years ago. St Catherine University Health And Wellness Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as St Catherine University Health And Wellness Center. The authorized official of this NPI record is Amy M Kelly Md (Md)
- NPI
- 1891016481
- Provider Legal Name
- ST CATHERINE UNIVERSITY
- Other Organization Name
- ST CATHERINE UNIVERSITY HEALTH AND WELLNESS CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2004 RANDOLPH AVE MAIL #4112 SAINT PAUL, MN 55105
- Location Phone
- (651) 690-6714
- Location Fax
- (651) 690-6188
- Mailing Address
- 2004 RANDOLPH AVE MAIL #4112 SAINT PAUL, MN 55105
- Mailing Phone
- (651) 690-6714
- Mailing Fax
- (651) 690-6188
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-17-2010
- Last Update Date
- 06-17-2010
- Code Navigator
A pediatrician like St Catherine University Health And Wellness Center is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 40727
- License State
- MN
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D0667911
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- November 07, 2025
- Certificate Expiration Date
- November 06, 2027
- Laboratory Director
- LAUREN PETERSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St Catherine University Health And Wellness Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for ST CATHERINE UNIVERSITY HEALTH AND WELLNESS CENTER
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1891016481, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
SAINT PAUL, MN 55105
SAINT PAUL, MN 55105
SAINT PAUL, MN 55105
SAINT PAUL, MN 55105
SAINT PAUL, MN 55105
SAINT PAUL, MN 55105
SAINT PAUL, MN 55105
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891016481, enumerated as an "organization" on June 17, 2010.
The provider is located at 2004 RANDOLPH AVE MAIL #4112 SAINT PAUL, MN 55105 and the phone number is (651) 690-6714.
Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.
