Active NPI
Lucy Whitney Standish, M.D.
- Pediatrics Physician
- Wayzata, MN
National Provider Identifier
1386006732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 40618
- Practice address
- 18525 Maple Ridge Rd
Wayzata, MN 55391-2629 - Phone
- (612) 750-8085
- NPI assigned
- Mar 24, 2016
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 40618 | MN | Primary |
Addresses
Primary practice location
18525 Maple Ridge Rd
Wayzata, MN 55391-2629
Mailing address
18525 Maple Ridge Rd
Wayzata, MN 55391-2629
Phone (612) 750-8085
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40618 | MN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1386006732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18525 MAPLE RIDGE RD",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553912629",
"telephone_number": "612-750-8085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18525 MAPLE RIDGE RD",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553912629",
"telephone_number": "612-750-8085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANDISH",
"first_name": "LUCY",
"middle_name": "WHITNEY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-24",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "40618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayzata, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.