Active NPI
Nikki Plys
- Social Worker
- Duluth, MN
National Provider Identifier
1205581683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 28612
- Practice address
- 2827 Chambersburg Ave
Duluth, MN 55811-3004 - Phone
- (218) 340-9766
- NPI assigned
- Feb 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 28612 | MN | Primary |
Addresses
Primary practice location
2827 Chambersburg Ave
Duluth, MN 55811-3004
Mailing address
1014 Lincoln St
Superior, WI 54880-6716
Phone (218) 340-9766
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28612 | MN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1205581683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 LINCOLN ST",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548806716",
"telephone_number": "218-340-9766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2827 CHAMBERSBURG AVE",
"city": "DULUTH",
"state": "MN",
"postal_code": "558113004",
"telephone_number": "218-340-9766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLYS",
"first_name": "NIKKI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-15",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "28612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.