Individual provider Active NPI

Nancy Ro Newman, L.P.N., L.L.C.C.

  • Licensed Practical Nurse
  • Minneapolis, MN
National Provider Identifier
1295926905
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L0300043 Issued in MN
Practice address
6311 Wayzata Blvd
Suite 230
Minneapolis, MN 55416-1209
Phone
(952) 545-0200
Fax
(952) 545-6388
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L0300043 MN Primary

Addresses

Primary practice location

6311 Wayzata Blvd
Suite 230
Minneapolis, MN 55416-1209

Mailing address

6311 Wayzata Blvd
Suite 230
Minneapolis, MN 55416-1209
Phone (952) 545-0200

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

LicenseStateTypeSpecialty
L0300043MNMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1295926905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 WAYZATA BLVD",
            "address_2": "SUITE 230",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161209",
            "telephone_number": "952-545-0200",
            "fax_number": "952-545-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 WAYZATA BLVD",
            "address_2": "SUITE 230",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161209",
            "telephone_number": "952-545-0200",
            "fax_number": "952-545-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "NANCY",
        "middle_name": "RO",
        "credential": "L.P.N., L.L.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L0300043",
            "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 7, 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.