Individual provider Active NPI

Lindsay Halvorson, REGISTERED NURSE

  • High-Risk Obstetric Registered Nurse
  • Detroit Lakes, MN
National Provider Identifier
1063987832
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
High-Risk Obstetric Registered NurseTaxonomy code 163WX0002X
License
2048316 Issued in MN
Practice address
808 Washington Ave
Thrifty White Pharmacy
Detroit Lakes, MN 56501
Phone
(218) 847-9248
NPI assigned
Oct 9, 2018
Last updated
Oct 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
High-Risk Obstetric Registered Nurse 163WX0002X 2048316 MN Primary

Addresses

Primary practice location

808 Washington Ave
Thrifty White Pharmacy
Detroit Lakes, MN 56501

Mailing address

2383 Saint Clair Cir
Detroit Lakes, MN 56501-8022

Other identifiers 1

IdentifierTypeStateIssuer
2048316OtherMNTHRIFTY WHITE PHARMACY

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
2048316MNMDHigh-Risk Obstetric Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1063987832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2383 SAINT CLAIR CIR",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565018022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 WASHINGTON AVE",
            "address_2": "THRIFTY WHITE PHARMACY",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "56501",
            "telephone_number": "218-847-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVORSON",
        "first_name": "LINDSAY",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "MN",
            "license": "2048316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THRIFTY WHITE PHARMACY",
            "identifier": "2048316",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit Lakes, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.