Individual provider Active NPI

Nelsie Toussaint

  • Primary Care Nurse Practitioner
  • Vadnais Heights, MN
National Provider Identifier
1437624608
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
6129 Issued in MN
Practice address
3200 Labore Rd Ste 104
Vadnais Heights, MN 55110-5186
Phone
(651) 431-6885
Fax
(651) 431-7383
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 6129 MN Primary

Addresses

Primary practice location

3200 Labore Rd Ste 104
Vadnais Heights, MN 55110-5186

Mailing address

2480 Highway 100 S Apt 102
St Louis Park, MN 55416-1733
Phone (651) 398-6849

Other practice location 1

10584 France Ave S
Bloomington, MN 55431-3538
Phone (651) 398-6849

Other identifiers 2

IdentifierTypeStateIssuer
LICOtherMN6129
6129OtherMNOTHER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6129MNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1437624608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 HIGHWAY 100 S APT 102",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161733",
            "telephone_number": "651-398-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 LABORE RD STE 104",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551105186",
            "telephone_number": "651-431-6885",
            "fax_number": "651-431-7383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10584 France Ave S",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554313538",
            "country_code": "US",
            "telephone_number": "651-398-6849",
            "fax_number": "651-666-1527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOUSSAINT",
        "first_name": "NELSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "6129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "6129",
            "identifier": "LIC",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "6129",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vadnais Heights, MN

Sources for this page

Verify at the official NPI Registry.