Individual provider Active NPI

Patricia Ann Enwall, RDCS

  • Sonography Specialist/Technologist Cardiovascular
  • Saint Paul, MN
National Provider Identifier
1164596177
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
License
105732 Issued in MN
Practice address
225 No Smith Ave
Suite 500
Saint Paul, MN 55102
Phone
(651) 726-6900
Fax
(651) 688-7570
NPI assigned
Nov 20, 2006
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
Sonography Specialist/Technologist Cardiovascular 246XS1301X 105732 MN Primary

Addresses

Primary practice location

225 No Smith Ave
Suite 500
Saint Paul, MN 55102

Mailing address

20643 Italy Ave
Lakeville, MN 55044
Phone (952) 469-5948

Other names 1

  • Patricia Ann Greene Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164596177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20643 ITALY AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "55044",
            "telephone_number": "952-469-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NO SMITH AVE",
            "address_2": "SUITE 500",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55102",
            "telephone_number": "651-726-6900",
            "fax_number": "651-688-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENWALL",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "RDCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "MN",
            "license": "105732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "GREENE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, 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.