Active NPI
The Saint Paul Lung Clinic
- Acute Care Nurse Practitioner
- Saint Paul, MN
National Provider Identifier
1497940860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- R-157185-5
- Legal business name
- THE SAINT PAUL LUNG CLINIC
- Practice address
- 225 Smith Ave N Ste 300
Saint Paul, MN 55102-2592 - Phone
- (651) 726-6200
- NPI assigned
- Sep 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tom Lorentzen
- Title
- Ceo
- Phone
- (651) 726-6210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | R-157185-5 | MN | Primary |
Addresses
Primary practice location
225 Smith Ave N Ste 300
Saint Paul, MN 55102-2592
Mailing address
225 Smith Ave N Ste 300
Saint Paul, MN 55102-2592
Phone (651) 726-6200
National Provider Directory
National Provider Directory- Tax ID family
- Pulmonary Critical Care Associates PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Saint Paul, MN
- NPI 1427143114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189382400000",
"number": "1497940860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 SMITH AVE N STE 300",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022592",
"telephone_number": "651-726-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 SMITH AVE N STE 300",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022592",
"telephone_number": "651-726-6200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE SAINT PAUL LUNG CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-10",
"last_updated": "2007-09-10",
"status": "A",
"authorized_official_last_name": "LORENTZEN",
"authorized_official_first_name": "TOM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "651-726-6210",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "MN",
"license": "R-157185-5",
"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 Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.