Northern Medical & Rehab Supplies

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

NORTHERN MEDICAL & REHAB SUPPLIES

Practice address

7761 Lake Dr
Ste B
Lino Lakes, MN 55014-1157

Phone

(651) 784-7965

Fax

(651) 784-7964

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lori Ann Zarn

Title

Owner/Operator

Phone

(651) 784-7965

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417046665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18049 KETTLE RIVER BLVD NE",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550258436",
            "telephone_number": "651-464-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7761 LAKE DR",
            "address_2": "STE B",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550141157",
            "telephone_number": "651-784-7965",
            "fax_number": "651-784-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MEDICAL & REHAB SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZARN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "651-784-7965",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Moses, MD
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• Jessica Niesen
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• Jessica Marie Tomaszewski Olson, MS OTR
• David Joseph Oommen, D.C.
• Caitlin Ostman, LICSW
• Kathleen Ann Palmer

• Customized Equipment (DME) in Lino Lakes, MN
• Providers in Lino Lakes, MN by specialty
• Customized Equipment (DME) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.