Active NPI
Andrea K Weikert
- Specialist
- Minneapolis, MN
National Provider Identifier
1083844567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- N654134053215
- Practice address
- 2937 Lyndale Ave S
Suite 201
Minneapolis, MN 55408-2171 - Phone
- (612) 879-8000
- Fax
- (612) 879-8778
- NPI assigned
- Jul 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | N654134053215 | MN | Primary |
Addresses
Primary practice location
2937 Lyndale Ave S
Suite 201
Minneapolis, MN 55408-2171
Mailing address
2227 Forest Dr NE
Columbia Heights, MN 55421-2016
Phone (612) 388-5237
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 |
|---|---|---|---|
| N654134053215 | MN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248048000000",
"number": "1083844567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2227 FOREST DR NE",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554212016",
"telephone_number": "612-388-5237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2937 LYNDALE AVE S",
"address_2": "SUITE 201",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082171",
"telephone_number": "612-879-8000",
"fax_number": "612-879-8778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIKERT",
"first_name": "ANDREA",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-20",
"last_updated": "2009-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MN",
"license": "N654134053215",
"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 Jul 20, 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.