Active NPI
Alaina Marie Laine, RN, CNP
- Nurse Practitioner
- Saint Paul, MN
National Provider Identifier
1174802896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R-181452-5
- Practice address
- 200 University Ave E
Saint Paul, MN 55101-2507 - Phone
- (651) 325-2307
- Fax
- (651) 229-1713
- NPI assigned
- Aug 11, 2011
- 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 | R-181452-5 | MN | Primary |
Addresses
Primary practice location
200 University Ave E
Saint Paul, MN 55101-2507
Mailing address
200 University Ave E
Saint Paul, MN 55101-2507
Phone (651) 325-2307
Other names 1
- Alaina Marie Matzke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Certified Pediatric Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-181452-5 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shriners Hospitals for Children | Nurse Practitioner | Current | Accepting new patients |
| Gillette Children'S Specialty Healthcare | Current | Accepting new patients | |
| Gillette Children'S Specialty Healthcare | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients |
Locations
200 University Ave E
Saint Paul, MN 55101
Phone (651) 291-2848
215 Radio Dr
Ste 100
Woodbury, MN 55125
Phone (612) 596-6100
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- St. Paul, MN
- NPI 1225119175
-
- Rehabilitation Clinic/Center
- Woodbury, MN
- NPI 1285250977
-
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1982090528
-
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1275271462
Nurse Practitioner
-
- Clinic/Center
- Aiea, HI
- NPI 1568299857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1174802896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 UNIVERSITY AVE E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012507",
"telephone_number": "651-325-2307",
"fax_number": "651-229-1713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UNIVERSITY AVE E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012507",
"telephone_number": "651-325-2307",
"fax_number": "651-229-1713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAINE",
"first_name": "ALAINA",
"middle_name": "MARIE",
"credential": "RN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-11",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R-181452-5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALAINA",
"last_name": "MATZKE",
"middle_name": "MARIE",
"credential": "RN, CNP",
"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 Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.