Individual provider Active NPI

Vida Joy Letourneau, LPN

  • Licensed Practical Nurse
  • Saint Paul, MN
National Provider Identifier
1083876841
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L0462745 Issued in MN
Practice address
347 Ramsey St
Unit a
Saint Paul, MN 55102-2323
Phone
(651) 228-1360
NPI assigned
Jul 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L0462745 MN Primary

Addresses

Primary practice location

347 Ramsey St
Unit a
Saint Paul, MN 55102-2323

Mailing address

347 Ramsey St
Unit a
Saint Paul, MN 55102-2323
Phone (651) 228-1360

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
L0462745MNMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1083876841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 RAMSEY ST",
            "address_2": "UNIT A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022323",
            "telephone_number": "651-228-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 RAMSEY ST",
            "address_2": "UNIT A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022323",
            "telephone_number": "651-228-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETOURNEAU",
        "first_name": "VIDA",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L0462745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.