Active NPI
Sydne Adams, LPN
- Licensed Practical Nurse
- Minneapolis, MN
National Provider Identifier
1083224737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 820824
- Practice address
- 2200 1St Ave S
Minneapolis, MN 55404-3401 - Phone
- (612) 871-7567
- Fax
- (612) 767-8749
- NPI assigned
- Aug 7, 2020
- Last updated
- Aug 7, 2020
- 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 | 820824 | MN | Primary |
Addresses
Primary practice location
2200 1St Ave S
Minneapolis, MN 55404-3401
Mailing address
497 Rice Creek Ter NE
Fridley, MN 55432-4438
Phone (763) 300-2293
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 |
|---|---|---|---|
| 820824 | MN | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nu-Way House Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596758400000",
"number": "1083224737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "497 RICE CREEK TER NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554324438",
"telephone_number": "763-300-2293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 1ST AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043401",
"telephone_number": "612-871-7567",
"fax_number": "612-767-8749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "SYDNE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-07",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MN",
"license": "820824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.