Individual provider Active NPI

Alysia Helena Minscer-Dashner, LPN

  • Licensed Practical Nurse
  • Fairmont, MN
National Provider Identifier
1306164116
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L61722-8 Issued in MN
Practice address
918 Willow St
Fairmont, MN 56031-4133
Phone
(507) 238-9018
NPI assigned
May 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2010

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 L61722-8 MN Primary

Addresses

Primary practice location

918 Willow St
Fairmont, MN 56031-4133

Mailing address

410 E Amber Lake Dr
Fairmont, MN 56031-3405
Phone (507) 235-8344

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
L61722-8MNMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1306164116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E AMBER LAKE DR",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560313405",
            "telephone_number": "507-235-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 WILLOW ST",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314133",
            "telephone_number": "507-238-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINSCER-DASHNER",
        "first_name": "ALYSIA",
        "middle_name": "HELENA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L61722-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.