Active NPI
Laura A Henn, ATC
- Specialist
- Minneapolis, MN
National Provider Identifier
1215979646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1275
- Practice address
- 701 25TH Ave S Ste 150
Minneapolis, MN 55454-1511 - Phone
- (612) 273-9196
- Fax
- (612) 273-4560
- NPI assigned
- Jun 11, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1275 | MN | Primary |
Addresses
Primary practice location
701 25TH Ave S Ste 150
Minneapolis, MN 55454-1511
Mailing address
701 25TH Ave S Ste 150
Minneapolis, MN 55454-1511
Phone (612) 273-9196
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 |
|---|---|---|---|
| 1275 | MN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1215979646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 25TH AVE S STE 150",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541511",
"telephone_number": "612-273-9196",
"fax_number": "612-273-4560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 25TH AVE S STE 150",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541511",
"telephone_number": "612-273-9196",
"fax_number": "612-273-4560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENN",
"first_name": "LAURA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MN",
"license": "1275",
"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 Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.