Individual provider Active NPI

Katherine Marie Laney, RN

  • General Practice Registered Nurse
  • Moose Lake, MN
National Provider Identifier
1306329933
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
R198436-1 Issued in MN
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.

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

LicenseStateTypeSpecialty
R198436-1MNMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew 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)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X R198436-1 MN Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.