Active NPI
Lori Johnson, AUD, CCC-A
- Audiologist
- Minneapolis, MN
National Provider Identifier
1326227372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 8297
- Practice address
- 2530 Chicago Ave
Minneapolis, MN 55404-4289 - Phone
- (651) 220-5675
- NPI assigned
- Oct 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 02-0000154 | DE | |
| Audiologist-Hearing Aid Fitter | 237600000X | 03-0000224 | DE | |
| Audiologist | 231H00000X | 8297 | MN | Primary |
Addresses
Primary practice location
2530 Chicago Ave
Minneapolis, MN 55404-4289
Mailing address
2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone (651) 220-5675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02-0000154 | DE | MD | Audiologist |
| 03-0000224 | DE | MD | Audiologist-Hearing Aid Fitter |
| 8297 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Health Care | Current | Accepting new patients | |
| Childrens Health Care | Current | Accepting new patients | |
| Childrens Health Care | Past | Accepting new patients |
Locations
2530 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000
2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000
5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691
347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Minneapolis, MN
- NPI 1932208808
-
- Emergency Care Clinic/Center
- Minneapolis, MN
- NPI 1134228000
-
- Children's Hospital
- Saint Paul, MN
- NPI 1629161781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525046400000",
"number": "1326227372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554044518",
"telephone_number": "651-220-5675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554044289",
"telephone_number": "651-220-5675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LORI",
"credential": "AUD, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-26",
"last_updated": "2018-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "DE",
"license": "02-0000154",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "DE",
"license": "03-0000224",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "8297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.