Active NPI
Katherine Marie Laney, RN
- General Practice Registered Nurse
- Moose Lake, MN
National Provider Identifier
1306329933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- R198436-1
- Practice address
- 60 Arrowhead LN
Moose Lake, MN 55767-9453 - Phone
- (218) 485-4401
- NPI assigned
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Moose Lake, MN
- NPI 1598855439
-
- Community/Retail Pharmacy
- Wadena, MN
- NPI 1710678545
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R198436-1 | MN | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Drug Stores Inc | Past | Accepting new patients | |
| Thrifty Drug Stores Inc | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | R198436-1 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
60 Arrowhead LN
Moose Lake, MN 55767-9453
Mailing address
921 Woodland Dr
Moose Lake, MN 55767-9408
Phone (218) 428-4746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2018.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1306329933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 WOODLAND DR",
"city": "MOOSE LAKE",
"state": "MN",
"postal_code": "557679408",
"telephone_number": "218-428-4746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 ARROWHEAD LN",
"city": "MOOSE LAKE",
"state": "MN",
"postal_code": "557679453",
"telephone_number": "218-485-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANEY",
"first_name": "KATHERINE",
"middle_name": "MARIE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "MN",
"license": "R198436-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moose Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.