Individual provider Active NPI

Lesa Renae Stegner, MSN

  • Family Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1205820719
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R1411766 Issued in MN
Practice address
900 Nicollet Mall
Minneapolis, MN 55403-2530
Phone
(612) 659-7111
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R1411766 MN Primary

Addresses

Primary practice location

900 Nicollet Mall
Minneapolis, MN 55403-2530

Mailing address

22542 Hayward Ave N
Forest Lake, MN 55025-8560
Phone (651) 398-5517

Other names 1

  • Lesa Renae Thompson Former name

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
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R1411766MNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1205820719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22542 HAYWARD AVE N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550258560",
            "telephone_number": "651-398-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NICOLLET MALL",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032530",
            "telephone_number": "612-659-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGNER",
        "first_name": "LESA",
        "middle_name": "RENAE",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R1411766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESA",
            "last_name": "THOMPSON",
            "middle_name": "RENAE",
            "credential": "MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 30, 2009; 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.