Individual provider Active NPI

Brianna Grace Seiler Lucas I, CPHT

  • Student in an Organized Health Care Education/Training Program
  • Willmar, MN
National Provider Identifier
1053134502
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
301 Becker Ave SW
Willmar, MN 56201-3302
Phone
(320) 231-4250
Fax
(320) 231-4850
NPI assigned
Nov 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 747567 MN
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

301 Becker Ave SW
Willmar, MN 56201-3302

Mailing address

404 16TH Ave SW Apt 301
Willmar, MN 56201-4146
Phone (320) 212-0250

Other practice location 1

201 28th Ave SW
Willmar, MN 56201-5241
Phone (320) 214-8558

Other practice location 2

1301 1st St S
Willmar, MN 56201-4201
Phone (320) 222-4000

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
747567MNMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Apr 3, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1053134502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 16TH AVE SW APT 301",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014146",
            "telephone_number": "320-212-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BECKER AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013302",
            "telephone_number": "320-231-4250",
            "fax_number": "320-231-4850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 28th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Willmar",
            "state": "MN",
            "postal_code": "562015241",
            "country_code": "US",
            "telephone_number": "320-214-8558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 1st St S",
            "address_purpose": "LOCATION",
            "city": "Willmar",
            "state": "MN",
            "postal_code": "562014201",
            "country_code": "US",
            "telephone_number": "320-222-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEILER LUCAS",
        "first_name": "BRIANNA",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MN",
            "license": "747567",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.