Active NPI
Lisa Erickson, MD
- Reproductive Endocrinology Physician
- Minneapolis, MN
National Provider Identifier
1548219611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 28924
- Practice address
- 2828 Chicago Ave
Suite 400
Minneapolis, MN 55407-1544 - Phone
- (612) 863-5390
- Fax
- (612) 863-2697
- NPI assigned
- May 8, 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 |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 28924 | MN | Primary |
Addresses
Primary practice location
2828 Chicago Ave
Suite 400
Minneapolis, MN 55407-1544
Mailing address
2828 Chicago Ave
Suite 400
Minneapolis, MN 55407-1544
Phone (612) 863-5390
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7400041 MPLS | Other | MN | MEDICA |
| HP20734 | Other | MN | HEALTH PARTNERS |
| 1012114 | Other | MN | PREFERRED ONE |
| 64G44ER | Other | MN | BLUE CROSS |
| 87446 | Other | MN | AMERICAS PIO |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28924 | MN | MD | Reproductive Endocrinology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1548219611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 CHICAGO AVE",
"address_2": "SUITE 400",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071544",
"telephone_number": "612-863-5390",
"fax_number": "612-863-2697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 CHICAGO AVE",
"address_2": "SUITE 400",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071544",
"telephone_number": "612-863-5390",
"fax_number": "612-863-2697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "LISA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "MN",
"license": "28924",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "7400041 MPLS",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP20734",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1012114",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "64G44ER",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAS PIO",
"identifier": "87446",
"state": "MN"
}
],
"endpoints": [],
"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 Jun 10, 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.