Cedar Lake Community Clinic PA
NPI 1649582669 · Family Medicine Physician · Minneapolis, MN
Cedar Lake Community Clinic PA is a Family Medicine Physician organization in Minneapolis, MN (NPI 1649582669).
Provider details
- NPI number
- 1649582669
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristen Coulter, President / Medical Director(612) 276-1000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dentist122300000X
Dental Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-07-07
- Last updated
- 2011-02-01
Frequently asked questions
- What is Cedar Lake Community Clinic PA's NPI number?
- Cedar Lake Community Clinic PA's National Provider Identifier (NPI) is 1649582669, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cedar Lake Community Clinic PA?
- Cedar Lake Community Clinic PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Cedar Lake Community Clinic PA located?
- Cedar Lake Community Clinic PA's practice location on file with NPPES is 1831 E Lake St, Minneapolis, MN 55407-1809.
- What is Cedar Lake Community Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Cedar Lake Community Clinic PA is (612) 276-1000.
- Who is the authorized official for Cedar Lake Community Clinic PA?
- The authorized official listed on Cedar Lake Community Clinic PA's NPPES record is Kristen Coulter, President / Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cedar Lake Community Clinic PA's NPI active?
- Yes — Cedar Lake Community Clinic PA's NPI (1649582669) is active in the NPPES registry as of the last update on 2011-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.