Individual provider Active NPI

Margaret(Peg) Anne Demmer, RN, CCRC

  • Registered Nurse
  • Minneapolis, MN
National Provider Identifier
1124143292
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R 104925-1 Issued in MN
Practice address
Minneapolis Heart Institute Foundation
920 E 28TH St., Suite 40, Mail Stop 33040
Minneapolis, MN 55407
Phone
(612) 863-6066
Fax
(612) 863-2490
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

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
Registered Nurse 163W00000X R 104925-1 MN Primary

Addresses

Primary practice location

Minneapolis Heart Institute Foundation
920 E 28TH St., Suite 40, Mail Stop 33040
Minneapolis, MN 55407

Mailing address

13654 Hidden Creek Dr
Andover, MN 55304-3800
Phone (763) 757-2458

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R 104925-1MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124143292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13654 HIDDEN CREEK DR",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043800",
            "telephone_number": "763-757-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MINNEAPOLIS HEART INSTITUTE FOUNDATION",
            "address_2": "920 E 28TH ST., SUITE 40, MAIL STOP 33040",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55407",
            "telephone_number": "612-863-6066",
            "fax_number": "612-863-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMMER",
        "first_name": "MARGARET(PEG)",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "RN, CCRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 104925-1",
            "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 8, 2007; 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.