Minntran

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

STS375379 Issued in MN

Legal business name

MINNTRAN

Practice address

1700 Livingston Ave
Suite 100
West St Paul, MN 55118-5908

Phone

(651) 775-1315

Fax

(651) 644-1369

NPI assigned

Nov 24, 2014

Last updated

Nov 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Marrin

Title

Administrator

Phone

(651) 775-1315

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1528465267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 LIVINGSTON AVE",
            "address_2": "SUITE 100",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551185908",
            "telephone_number": "651-775-1315",
            "fax_number": "651-644-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 LIVINGSTON AVE",
            "address_2": "SUITE 100",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551185908",
            "telephone_number": "651-775-1315",
            "fax_number": "651-644-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNTRAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "MARRIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-775-1315"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "MN",
            "license": "STS375379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rose McRae
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• Abdullahi Abdi Mohamed
• Nora Elizabeth Mulloy, DO
• Kristen Marie Neisen, LPCC, LADC
• Alicia Marie Newman, MSW, LICSW

• Private Vehicle in West St Paul, MN
• Providers in West St Paul, MN by specialty
• Private Vehicle in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.