Active NPI
Gina Catherine Liverseed
- Registered Nurse
- Saint Paul, MN
National Provider Identifier
1184832768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R 129224-4
- Practice address
- 1965 Ford Pkwy
Saint Paul, MN 55116-1923 - Phone
- (651) 696-5640
- NPI assigned
- May 18, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R 129224-4 | MN | Primary |
Addresses
Primary practice location
1965 Ford Pkwy
Saint Paul, MN 55116-1923
Mailing address
1965 Ford Pkwy
Saint Paul, MN 55116-1923
Phone (651) 696-5640
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, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 129224-4 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184832768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 FORD PKWY",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551161923",
"telephone_number": "651-696-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1965 FORD PKWY",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551161923",
"telephone_number": "651-696-5640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVERSEED",
"first_name": "GINA",
"middle_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R 129224-4",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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.