Individual provider Active NPI

Dawn Claflin

  • Licensed Practical Nurse
  • Saint Paul, MN
National Provider Identifier
1043698095
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L492647 Issued in MN
Practice address
2060 Centre Pointe Blvd
Ste 3
Saint Paul, MN 55120-1269
Phone
(651) 774-0011
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L492647 MN Primary

Addresses

Primary practice location

2060 Centre Pointe Blvd
Ste 3
Saint Paul, MN 55120-1269

Mailing address

1928 Tyler CT
Northfield, MN 55057-3026
Phone (507) 645-2289

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

LicenseStateTypeSpecialty
L492647MNMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1043698095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 TYLER CT",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573026",
            "telephone_number": "507-645-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 CENTRE POINTE BLVD",
            "address_2": "STE 3",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551201269",
            "telephone_number": "651-774-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAFLIN",
        "first_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L492647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.