Active NPI
Lisa Ann Krueger
- Early Intervention Provider Agency
- Savage, MN
National Provider Identifier
1316682271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Practice address
- 2Care4U Pathways South, LLC
6001 Egan Dr Suite 150
Savage, MN 55378 - Phone
- (952) 693-0545
- NPI assigned
- May 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
2Care4U Pathways South, LLC
6001 Egan Dr Suite 150
Savage, MN 55378
Mailing address
6001 Egan Dr
Savage, MN 55378-4921
Phone (952) 693-0545
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2Care4U South, LLC | Early Intervention Provider Agency | Current | Accepting new patients |
Locations
6001 Egan Dr
Ste 150
Savage, MN 55378
Phone (952) 693-0545
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1316682271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 EGAN DR",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553784921",
"telephone_number": "952-693-0545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2CARE4U PATHWAYS SOUTH, LLC",
"address_2": "6001 EGAN DR SUITE 150",
"city": "SAVAGE",
"state": "MN",
"postal_code": "55378",
"telephone_number": "952-693-0545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "LISA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-04",
"last_updated": "2022-05-04",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savage, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.