Individual provider Active NPI

Marilyn J Lovestrand, RN DIR OF NURSING

  • Registered Nurse
  • Burnsville, MN
National Provider Identifier
1174706766
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R1026384 Issued in MN
Practice address
15001 Willa Court
Burnsville, MN 55306-4301
Phone
(952) 898-9780
Fax
(952) 898-5866
NPI assigned
Dec 6, 2007
Last updated
Dec 6, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 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 R1026384 MN Primary

Addresses

Primary practice location

15001 Willa Court
Burnsville, MN 55306-4301

Mailing address

15001 Willa Court
Burnsville, MN 55306-4301
Phone (952) 898-9780

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
R1026384MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
United Homecare Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1174706766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15001 WILLA COURT",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064301",
            "telephone_number": "952-898-9780",
            "fax_number": "952-898-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15001 WILLA COURT",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064301",
            "telephone_number": "952-898-9780",
            "fax_number": "952-898-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVESTRAND",
        "first_name": "MARILYN",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "RN DIR OF NURSING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R1026384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.