Active NPI
Mailei Soare
- Registered Nurse
- Clear Lake, MN
National Provider Identifier
1417487232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R227878-8
- Practice address
- 9383 127TH St SE
Clear Lake, MN 55319-9575 - Phone
- (320) 224-3200
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R227878-8 | MN | Primary |
Addresses
Primary practice location
9383 127TH St SE
Clear Lake, MN 55319-9575
Mailing address
9383 127TH St SE
Clear Lake, MN 55319-9575
Phone (320) 224-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1086733-1-HCBS | Other | MN | MINNESOTA DEPARTMENT OF HUMAN SERVICES |
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 |
|---|---|---|---|
| R227878-8 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1417487232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9383 127TH ST SE",
"city": "CLEAR LAKE",
"state": "MN",
"postal_code": "553199575",
"telephone_number": "320-224-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9383 127TH ST SE",
"city": "CLEAR LAKE",
"state": "MN",
"postal_code": "553199575",
"telephone_number": "320-224-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOARE",
"first_name": "MAILEI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R227878-8",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MINNESOTA DEPARTMENT OF HUMAN SERVICES",
"identifier": "1086733-1-HCBS",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clear Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.