Individual provider Active NPI

Louise Marie McNamara, APRN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Minneapolis, MN
National Provider Identifier
1104947241
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
R 117501-5 Issued in MN
Practice address
615 1St Ave NE
Suite 310
Minneapolis, MN 55413-2447
Phone
(612) 436-0295
Fax
(612) 436-0163
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X R 117501-5 MN Primary

Addresses

Primary practice location

615 1St Ave NE
Suite 310
Minneapolis, MN 55413-2447

Mailing address

615 1St Ave NE
Suite 310
Minneapolis, MN 55413-2447
Phone (612) 436-0295

Other identifiers 1

IdentifierTypeStateIssuer
575G4MCOtherMNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R 117501-5MNMDAdult Psychiatric/Mental Health Clinical Nurse Specialist
231MNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Health Counseling Services 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104947241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 1ST AVE NE",
            "address_2": "SUITE 310",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132447",
            "telephone_number": "612-436-0295",
            "fax_number": "612-436-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 1ST AVE NE",
            "address_2": "SUITE 310",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132447",
            "telephone_number": "612-436-0295",
            "fax_number": "612-436-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "LOUISE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MN",
            "license": "R 117501-5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "575G4MC",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.