Active NPI
Adrienne Milligan Platt, CPNP
- Pediatric Nurse Practitioner
- Crosslake, MN
National Provider Identifier
1003872540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 10170
- Practice address
- 36974 Bonnie Lakes Rd
Crosslake, MN 56442 - Phone
- (816) 835-0929
- NPI assigned
- Apr 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 2002028643 | MO | |
| Pediatric Nurse Practitioner | 363LP0200X | 140607 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | 10170 | MN | Primary |
Addresses
Primary practice location
36974 Bonnie Lakes Rd
Crosslake, MN 56442
Mailing address
36974 Bonnie Lakes Rd
Crosslake, MN 56442-3109
Phone (816) 835-0929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 428969505 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10170 | MN | MD | Physician Assistant |
| 2002028643 | MO | MD | Pediatric Nurse Practitioner |
| 140607 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Kids Consulting LLC | Pediatrics | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1003872540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36974 BONNIE LAKES RD",
"city": "CROSSLAKE",
"state": "MN",
"postal_code": "564423109",
"telephone_number": "816-835-0929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36974 BONNIE LAKES RD",
"city": "CROSSLAKE",
"state": "MN",
"postal_code": "56442",
"telephone_number": "816-835-0929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLATT",
"first_name": "ADRIENNE",
"middle_name": "MILLIGAN",
"name_prefix": "Dr.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MO",
"license": "2002028643",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "140607",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MN",
"license": "10170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "428969505",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crosslake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.