Individual provider Active NPI

Candace Ann Luedemann, APRN CNM

  • Advanced Practice Midwife
  • Minneapolis, MN
National Provider Identifier
1467742023
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0080 Issued in MN
Practice address
3033 Excelsior Blvd Ste 585
Minneapolis, MN 55416-4688
Phone
(952) 212-6801
NPI assigned
Apr 15, 2011
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 0080 MN Primary

Addresses

Primary practice location

3033 Excelsior Blvd Ste 585
Minneapolis, MN 55416-4688

Mailing address

3033 Excelsior Blvd Ste 585
Minneapolis, MN 55416-4688

Other identifiers 1

IdentifierTypeStateIssuer
1467742023MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address candace.luedemann.1@10513.direct.athenahealth.com Direct

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 Midwife

NPI Registry JSON

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1467742023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 EXCELSIOR BLVD STE 585",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 EXCELSIOR BLVD STE 585",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164688",
            "telephone_number": "952-212-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEDEMANN",
        "first_name": "CANDACE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-15",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "0080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467742023",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "candace.luedemann.1@10513.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3033 Excelsior Blvd Ste 585",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554166400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.