Active NPI
Maria Schimming
- Nursing Care Agency
- Blaine, MN
National Provider Identifier
1386833820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 251J00000X
- Practice address
- 11465 Tyler St NE
Blaine, MN 55434-2954 - Phone
- (763) 757-2705
- NPI assigned
- Oct 22, 2007
- 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 |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 251J00000X | MN | Primary |
Addresses
Primary practice location
11465 Tyler St NE
Blaine, MN 55434-2954
Mailing address
PO Box 131926
Roseville, MN 55113-0022
Phone (763) 757-2705
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251J00000X | MN | MD | Nursing Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1386833820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 131926",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551130022",
"telephone_number": "763-757-2705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11465 TYLER ST NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554342954",
"telephone_number": "763-757-2705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIMMING",
"first_name": "MARIA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-22",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "MN",
"license": "251J00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.