Active NPI
Janus Lepc, LLC
- Podiatrist
- Minneapolis, MN
National Provider Identifier
1205645777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- JANUS LEPC, LLC
- Practice address
- 5424 Knox Ave S
Minneapolis, MN 55419-1502 - Phone
- (612) 741-5154
- Fax
- (612) 928-9182
- NPI assigned
- Dec 30, 2024
- Last updated
- Dec 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Navarrete
- Title
- Revenue Cycle Management Consultant
- Phone
- (612) 479-2215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
5424 Knox Ave S
Minneapolis, MN 55419-1502
Mailing address
5424 Knox Ave S
Minneapolis, MN 55419-1502
Phone (612) 741-5154
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
550 Village Center Dr
Ste 200
Saint Paul, MN 55127
Phone (612) 353-9100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Forest Lake, MN
- NPI 1093757031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735516800000",
"number": "1205645777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5424 KNOX AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554191502",
"telephone_number": "612-741-5154",
"fax_number": "612-928-9182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5424 KNOX AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554191502",
"telephone_number": "612-741-5154",
"fax_number": "612-928-9182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANUS LEPC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-30",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A",
"authorized_official_last_name": "NAVARRETE",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "REVENUE CYCLE MANAGEMENT CONSULTANT",
"authorized_official_telephone_number": "612-479-2215"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.