Individual provider Active NPI

Angela Laughlin, APRN, NP-C

  • Family Nurse Practitioner
  • Blaine, MN
National Provider Identifier
1245778612
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP 4979 Issued in MN
Practice address
1500 109TH Ave NE
Minute Clinic
Blaine, MN 55449-4670
Phone
(866) 389-2727
NPI assigned
Feb 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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 CNP 4979 MN Primary

Addresses

Primary practice location

1500 109TH Ave NE
Minute Clinic
Blaine, MN 55449-4670

Mailing address

307 1St Ave NE
Minneapolis, MN 55413-2205
Phone (612) 284-8206

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

State licenses

LicenseStateTypeSpecialty
CNP 4979MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Clinic MN PLLC CurrentSince Jan 3, 2022 Accepting new patients

Locations

307 1st Ave NE
Minneapolis, MN 55413
Phone (612) 284-8206

Interoperability endpoints

  • Direct secure messaging: angela.laughlin.1@14940.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1245778612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 1ST AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132205",
            "telephone_number": "612-284-8206",
            "fax_number": "612-284-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 109TH AVE NE",
            "address_2": "MINUTE CLINIC",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494670",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUGHLIN",
        "first_name": "ANGELA",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP 4979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.

Verify at the official NPI Registry.