Active NPI
Ashley Larsen, LPN
- Licensed Practical Nurse
- Paynesville, MN
National Provider Identifier
1043584642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- L072428-9
- Practice address
- 411 W Mill St
Paynesville, MN 56362-1436 - Phone
- (507) 430-2677
- NPI assigned
- Feb 28, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L072428-9 | MN | Primary |
Addresses
Primary practice location
411 W Mill St
Paynesville, MN 56362-1436
Mailing address
411 W Mill St
Paynesville, MN 56362-1436
Phone (507) 430-2677
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L072428-9 | MN | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330387200000",
"number": "1043584642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 W MILL ST",
"city": "PAYNESVILLE",
"state": "MN",
"postal_code": "563621436",
"telephone_number": "507-430-2677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 W MILL ST",
"city": "PAYNESVILLE",
"state": "MN",
"postal_code": "563621436",
"telephone_number": "507-430-2677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "ASHLEY",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-28",
"last_updated": "2012-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MN",
"license": "L072428-9",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paynesville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.