Active NPI
Pathways to Achievement, Inc.
- Non-emergency Medical Transport (VAN)
- Duluth, MN
National Provider Identifier
1235732389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- PATHWAYS TO ACHIEVEMENT, INC.
- Practice address
- 114 South 20TH Avenue West, Suite B
Duluth, MN 55806-3526 - Phone
- (218) 733-1331
- Fax
- (952) 922-6885
- NPI assigned
- Nov 20, 2020
- 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
- Mrs. Lisa M Thelen
- Title
- Executive Director
- Phone
- (954) 563-2222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
114 South 20TH Avenue West, Suite B
Duluth, MN 55806-3526
Mailing address
6600 France Avenue South, Suite 500
Edina, MN 55435-1878
Phone (952) 563-2207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371521 | Medicaid | MN |
National Provider Directory
National Provider Directory- Tax ID family
- Pathways to Achievement Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Duluth, MN
- NPI 1528304136
-
dba Pathways to Achievement Therapy
- Physical Therapist
- Duluth, MN
- NPI 1821364795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605830400000",
"number": "1235732389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 FRANCE AVENUE SOUTH, SUITE 500",
"city": "EDINA",
"state": "MN",
"postal_code": "554351878",
"telephone_number": "952-563-2207",
"fax_number": "952-922-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 SOUTH 20TH AVENUE WEST, SUITE B",
"city": "DULUTH",
"state": "MN",
"postal_code": "558063526",
"telephone_number": "218-733-1331",
"fax_number": "952-922-6885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAYS TO ACHIEVEMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-20",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A",
"authorized_official_last_name": "THELEN",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "954-563-2222",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371521",
"state": "MN"
}
],
"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 Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.