NPIMap

Organization Active NPI

United Healthcare Services, Inc

  • Nurse Practitioner
  • Minnetonka, MN
National Provider Identifier
1073637468
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
UNITED HEALTHCARE SERVICES, INC
Practice address
9701 Data Park
Mn006-W600
Minnetonka, MN 55343-9026
Phone
(800) 896-8936
Fax
(888) 866-3209
NPI assigned
Mar 19, 2007
Last updated
Jul 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Allen D Miller
Title
Executive Director
Phone
(800) 896-8936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

9701 Data Park
Mn006-W600
Minnetonka, MN 55343-9026

Mailing address

9701 Data Park
Mn006-W600
Minnetonka, MN 55343-9026
Phone (800) 896-8936

Other identifiers 1

IdentifierTypeStateIssuer
5082161-00MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
United Healthcare Servi8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9800 Health Care Ln
#6W600
Minnetonka, MN 55343
Phone (800) 896-8936

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1073637468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 DATA PARK",
            "address_2": "MN006-W600",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439026",
            "telephone_number": "800-896-8936",
            "fax_number": "888-866-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 DATA PARK",
            "address_2": "MN006-W600",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439026",
            "telephone_number": "800-896-8936",
            "fax_number": "888-866-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "800-896-8936"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5082161-00",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.