Sue Marie McAnally, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

200347 Issued in MN

Practice address

856 University Ave W
Saint Paul, MN 55104-4807

Phone

(651) 665-9795

Fax

(651) 665-9796

NPI assigned

Aug 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Divine Healthcare Corporation

  • Home Health Agency
  • Saint Paul, MN
  • NPI 1326150343
  NPD

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1316614795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044807",
            "telephone_number": "651-665-9795",
            "fax_number": "651-665-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044807",
            "telephone_number": "651-665-9795",
            "fax_number": "651-665-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANALLY",
        "first_name": "SUE",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "200347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noceba Mbangata
• MBH Chiropractic, LLC
• Martin Mbu
• Erica MC Nearney, OTR/L
• Leah Carole McAlees-Callanan
• Emily McArdle
• Bruce G McBeath, PH.D.
• Jennifer McBride McNamara, M.A., LAMFT
• Jessica C McBride Pauna, LPCC
• John W McBride, MD

• Licensed Practical Nurse in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Licensed Practical Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.