Individual provider Active NPI

Faye Lafferty-Owens

  • Student in an Organized Health Care Education/Training Program
  • Chaska, MN
National Provider Identifier
1043185119
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1107 Hazeltine Blvd Ste 300
Chaska, MN 55318-1065
Phone
(218) 393-4769
Fax
(218) 393-4769
NPI assigned
Oct 8, 2025
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MN Primary

Addresses

Primary practice location

1107 Hazeltine Blvd Ste 300
Chaska, MN 55318-1065

Mailing address

11600 Arbor Lakes Pkwy N Unit 4244
Maple Grove, MN 55369-7651
Phone (218) 393-4769

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)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1043185119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 ARBOR LAKES PKWY N UNIT 4244",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697651",
            "telephone_number": "218-393-4769",
            "fax_number": "218-393-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BLVD STE 300",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181065",
            "telephone_number": "218-393-4769",
            "fax_number": "218-393-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFFERTY-OWENS",
        "first_name": "FAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.