NPIMap

Organization Active NPI

Minnesota Natural Medicine

  • Internal Medicine Physician
  • Vadnais HTS, MN
National Provider Identifier
1417193210
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23328 Issued in MN
Legal business name
MINNESOTA NATURAL MEDICINE
Practice address
3640 Talmage Circle
#208
Vadnais HTS, MN 55110
Phone
(651) 484-5567
Fax
(651) 484-5011
NPI assigned
Dec 29, 2008
Last updated
Dec 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Janet K Foley
Title
Office Manager/Owner
Phone
(651) 484-5567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 23328 MN Primary

Addresses

Primary practice location

3640 Talmage Circle
#208
Vadnais HTS, MN 55110

Mailing address

3640 Talmage Circle
#208
Vadnais HTS, MN 55110
Phone (651) 484-5567

National Provider Directory

National Provider Directory
Tax ID family
Minnesota Natural Medicine3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1417193210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 TALMAGE CIRCLE",
            "address_2": "#208",
            "city": "VADNAIS HTS",
            "state": "MN",
            "postal_code": "55110",
            "telephone_number": "651-484-5567",
            "fax_number": "651-484-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 TALMAGE CIRCLE",
            "address_2": "#208",
            "city": "VADNAIS HTS",
            "state": "MN",
            "postal_code": "55110",
            "telephone_number": "651-484-5567",
            "fax_number": "651-484-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA NATURAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER/OWNER",
        "authorized_official_telephone_number": "651-484-5567"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "23328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vadnais HTS, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.