Organization Active NPI

Sierra Clinics PA

  • Family Medicine Physician
  • Apple Valley, MN
National Provider Identifier
1093267197
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SIERRA CLINICS PA
Practice address
8501 133Rd St W
Apple Valley, MN 55124-9504
Phone
(952) 431-6918
Fax
(952) 431-0655
NPI assigned
Oct 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Mrs. Jean M Sierra
Title
Manager
Phone
(952) 431-6918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8501 133Rd St W
Apple Valley, MN 55124-9504

Mailing address

8501 133Rd St W
Apple Valley, MN 55124-9504
Phone (952) 431-6918

Other names 1

  • Sierra Pain Clinic Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1093267197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 133RD ST W",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551249504",
            "telephone_number": "952-431-6918",
            "fax_number": "952-431-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 133RD ST W",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551249504",
            "telephone_number": "952-431-6918",
            "fax_number": "952-431-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA CLINICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "952-431-6918",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Pain Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sierra Pain Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.