NPIMap

Emma Cavanaugh-Johnson

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Chaska, MN

NPI 1346090669 · NPPES record last updated Mar 27, 2024

Key facts

NPI
1346090669
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1435 White Oak Dr Ste 200
Chaska, MN 55318-2567
Phone
(952) 443-4600
NPI assigned
Mar 27, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lorenz Clinic, LLC Current
since Mar 31, 2024		 Accepting new patients

Locations

1435 White Oak Dr
Ste 200
Chaska, MN 55318
Phone (651) 374-1470

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16506/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1435 White Oak Dr Ste 200
Chaska, MN 55318-2567

Mailing address

1435 White Oak Dr Ste 200
Chaska, MN 55318-2567

Other providers in Chaska, MN

All providers in Chaska, MN · Student in an Organized Health Care Education/Training Program in Minnesota

Sources for this page

Verify at the official NPI Registry.