Active NPI
Frederick G Varney
- Registered Nurse
- Bloomington, MN
National Provider Identifier
1255945820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2337810
- Practice address
- 10300 Devonshire Cir Apt D127
Bloomington, MN 55431-3178 - Phone
- (612) 327-0670
- NPI assigned
- Sep 1, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2337810 | MN | Primary |
Addresses
Primary practice location
10300 Devonshire Cir Apt D127
Bloomington, MN 55431-3178
Mailing address
2421 W 98TH St
Bloomington, MN 55431-2803
Phone (612) 327-0670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A690020400 | Medicaid | MN |
Electronic endpoints 6
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Bloomington | ||
| Other URL | Bloomington | Direct | |
| Other URL | Bloomington | Direct | |
| Other URL | Bloomington | Direct | |
| Other URL | Bloomington | Direct | |
| Other URL | Bloomington | Direct |
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 |
|---|---|---|---|
| 2337810 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1255945820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 W 98TH ST",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554312803",
"telephone_number": "612-327-0670",
"fax_number": "952-681-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 DEVONSHIRE CIR APT D127",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554313178",
"telephone_number": "612-327-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARNEY",
"first_name": "FREDERICK",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-01",
"last_updated": "2020-09-01",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "2337810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A690020400",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Bloomington",
"affiliation": "N",
"address_1": "2421 W 98th St",
"city": "Bloomington",
"state": "MN",
"country_code": "US",
"postal_code": "554312803",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Bloomington",
"affiliation": "N",
"endpointDescription": "Health Care",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Bloomington",
"address_1": "2421 W 98th St",
"city": "Bloomington",
"state": "MN",
"country_code": "US",
"postal_code": "554312803",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Bloomington",
"affiliation": "N",
"endpointDescription": "Health Care",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Bloomington",
"address_1": "2421 W 98th St",
"city": "Bloomington",
"state": "MN",
"country_code": "US",
"postal_code": "554312803",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Bloomington",
"affiliation": "N",
"endpointDescription": "Health Care",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Bloomington",
"address_1": "2421 W 98th St",
"city": "Bloomington",
"state": "MN",
"country_code": "US",
"postal_code": "554312803",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Bloomington",
"affiliation": "N",
"endpointDescription": "Health Care",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Bloomington",
"address_1": "2421 W 98th St",
"city": "Bloomington",
"state": "MN",
"country_code": "US",
"postal_code": "554312803",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Bloomington",
"affiliation": "N",
"endpointDescription": "Health Care",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Bloomington",
"address_1": "2421 W 98th St",
"city": "Bloomington",
"state": "MN",
"country_code": "US",
"postal_code": "554312803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.