Individual provider Active NPI

Lynnea H Piotter, PNP

  • Registered Nurse
  • Minnetonka, MN
National Provider Identifier
1134264161
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R 1757255 Issued in MN
Practice address
17705 Hutchins Dr Ste 101
Minnetonka, MN 55345-4102
Phone
(952) 401-8300
Fax
(952) 401-8246
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 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 1757255 MN Primary

Addresses

Primary practice location

17705 Hutchins Dr Ste 101
Minnetonka, MN 55345-4102

Mailing address

17705 Hutchins Dr Ste 101
Minnetonka, MN 55345-4102
Phone (952) 401-8300

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R 1757255MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1134264161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17705 HUTCHINS DR STE 101",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454102",
            "telephone_number": "952-401-8300",
            "fax_number": "952-401-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17705 HUTCHINS DR STE 101",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454102",
            "telephone_number": "952-401-8300",
            "fax_number": "952-401-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIOTTER",
        "first_name": "LYNNEA",
        "middle_name": "H",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 1757255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.