Individual provider Active NPI

Urgo Shanka

  • Registered Nurse
  • Saint Paul, MN
National Provider Identifier
1447870555
Registry record updated Apr 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2475359 Issued in MN
Practice address
1270 Larpenteur Ave W Apt 103
Saint Paul, MN 55113-6325
Phone
(651) 440-5329
NPI assigned
Apr 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 2475359 MN Primary

Addresses

Primary practice location

1270 Larpenteur Ave W Apt 103
Saint Paul, MN 55113-6325

Mailing address

1270 Larpenteur Ave W Apt 103
Saint Paul, MN 55113-6325
Phone (651) 440-5329

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

LicenseStateTypeSpecialty
2475359MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587168000000",
    "number": "1447870555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 LARPENTEUR AVE W APT 103",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551136325",
            "telephone_number": "651-440-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 LARPENTEUR AVE W APT 103",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551136325",
            "telephone_number": "651-440-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKA",
        "first_name": "URGO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-18",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2475359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.