Active NPI
Darlene Kay Lauridsen, CNP
- Family Nurse Practitioner
- St Paul, MN
National Provider Identifier
1457460693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1845
- Practice address
- 225 N Smith Ave
#100A
St Paul, MN 55102 - Phone
- (651) 241-7176
- Fax
- (651) 241-5100
- NPI assigned
- Aug 30, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1845 | WI | Primary |
Addresses
Primary practice location
225 N Smith Ave
#100A
St Paul, MN 55102
Mailing address
225 N Smith Ave
#100A
St Paul, MN 55102
Phone (651) 241-7176
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43937300 | Medicaid | WI | |
| 1845 | Other | WI | APNP 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 |
|---|---|---|---|
| 1845 | WI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1457460693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 N SMITH AVE",
"address_2": "#100A",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55102",
"telephone_number": "651-241-7176",
"fax_number": "651-241-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 N SMITH AVE",
"address_2": "#100A",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55102",
"telephone_number": "651-241-7176",
"fax_number": "651-241-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURIDSEN",
"first_name": "DARLENE",
"middle_name": "KAY",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "1845",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43937300",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APNP LICENSE",
"identifier": "1845",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.