Active NPI
Paulette M. Herold, ARNP
- Occupational Health Nurse Practitioner
- Saint Paul, MN
National Provider Identifier
1457336232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Nurse Practitioner
- License
- H-043411
- Practice address
- 205 Wabasha St S
Health Partners/St Paul Clinic
Saint Paul, MN 55107-1805 - Phone
- (651) 293-8100
- Fax
- (651) 293-8106
- NPI assigned
- Dec 14, 2005
- 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 |
|---|---|---|---|---|
| Occupational Health Nurse Practitioner | 363LX0106X | H-043411 | IA | Primary |
Addresses
Primary practice location
205 Wabasha St S
Health Partners/St Paul Clinic
Saint Paul, MN 55107-1805
Mailing address
205 Wabasha St S
Health Partners/St Paul Clinic
St Paul, MN 55107-1805
Phone (651) 293-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R 198673-8 | Other | MN | MN NURSING LICENSE |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H-043411 | IA | MD | Occupational Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1457336232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 WABASHA ST S",
"address_2": "HEALTH PARTNERS/ST PAUL CLINIC",
"city": "ST PAUL",
"state": "MN",
"postal_code": "551071805",
"telephone_number": "651-293-8100",
"fax_number": "651-293-8106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 WABASHA ST S",
"address_2": "HEALTH PARTNERS/ST PAUL CLINIC",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551071805",
"telephone_number": "651-293-8100",
"fax_number": "651-293-8106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEROLD",
"first_name": "PAULETTE",
"middle_name": "M.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "IA",
"license": "H-043411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN NURSING LICENSE",
"identifier": "R 198673-8",
"state": "MN"
}
],
"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 Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.