Active NPI
Deanna Germain, CNP
- Nurse Practitioner
- Maple Grove, MN
National Provider Identifier
1154356418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R0685933
- Practice address
- 9550 Upland LN N
Suite 100
Maple Grove, MN 55369-4481 - Phone
- (763) 537-6000
- Fax
- (763) 537-6666
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R0685933 | MN | Primary |
Addresses
Primary practice location
9550 Upland LN N
Suite 100
Maple Grove, MN 55369-4481
Mailing address
2104 Northdale Blvd NW
#220 Medical Advanced Pain Specialists
Minneapolis, MN 55433
Phone (763) 537-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 856714000 | Medicaid | MN |
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
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0685933 | MN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237507200000",
"number": "1154356418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 NORTHDALE BLVD NW",
"address_2": "#220 MEDICAL ADVANCED PAIN SPECIALISTS",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55433",
"telephone_number": "763-537-6000",
"fax_number": "763-537-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9550 UPLAND LN N",
"address_2": "SUITE 100",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694481",
"telephone_number": "763-537-6000",
"fax_number": "763-537-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERMAIN",
"first_name": "DEANNA",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2009-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R0685933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "856714000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.