Organization Active NPI

Michelle a Aldrich RN CNP PA

  • Adult Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1295926129
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R 122978-3 Issued in MN
Legal business name
MICHELLE A ALDRICH RN CNP PA
Practice address
4215 31St Ave S
Minneapolis, MN 55406-3311
Phone
(612) 306-2598
Fax
(612) 729-9453
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Michelle A Aldrich, CNP
Title
Owner
Phone
(612) 306-2598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X R 122978-3 MN Primary

Addresses

Primary practice location

4215 31St Ave S
Minneapolis, MN 55406-3311

Mailing address

4215 31St Ave S
Minneapolis, MN 55406-3311
Phone (612) 306-2598

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1295926129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 31ST AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063311",
            "telephone_number": "612-306-2598",
            "fax_number": "612-729-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 31ST AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063311",
            "telephone_number": "612-306-2598",
            "fax_number": "612-729-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE A ALDRICH RN CNP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "ALDRICH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-306-2598",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "R 122978-3",
            "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 Aug 6, 2007; 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.