Traveling Angel PC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TRAVELING ANGEL PC

Practice address

6632 State 26
La Crescent, MN 55947-0163

Phone

(612) 483-2349

Fax

(507) 894-4570

NPI assigned

Jul 16, 2007

Last updated

Jul 20, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeanette Martina Volk Krohn, LICENSED PRACTICAL N

Title

Owner Home Care Nurse

Phone

(612) 483-2349

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1386843704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 FLORIDA AVENUE S",
            "city": "ST. LOUIS PARK",
            "state": "MN",
            "postal_code": "55426",
            "telephone_number": "612-483-2349",
            "fax_number": "507-894-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6632 STATE 26",
            "city": "LA CRESCENT",
            "state": "MN",
            "postal_code": "559470163",
            "telephone_number": "612-483-2349",
            "fax_number": "507-894-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVELING ANGEL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "VOLK KROHN",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "MARTINA",
        "authorized_official_title_or_position": "OWNER HOME CARE NURSE",
        "authorized_official_telephone_number": "612-483-2349",
        "authorized_official_credential": "LICENSED PRACTICAL N"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springbrook Village of la Crescent LLC
• Alyssa Nicole Stecker
• Carisa Dee Tacke
• Theodore J. Pierzina (Counseling Clinic La Crescent)
• Traditions of la Crescent LLC (Traditions of La Crescent)
• Duane K Undeland, MD
• James W Wilde, MD
• Brittany Wirth, LPTA
• Wood Family Chiropractic
• Wood Family Chiropractic PC (Chiropractic First of La Crescent)

• Home Health Agency in La Crescent, MN
• Providers in La Crescent, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.