Active NPI
Laura E Conkright
- Other Technician
- Bloomington, MN
National Provider Identifier
1558977041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 6300 W Old Shakopee Rd
Bloomington, MN 55438-2654 - Phone
- (507) 322-7752
- NPI assigned
- Sep 20, 2020
- Last updated
- Sep 20, 2020
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | NU | Primary |
Addresses
Primary practice location
6300 W Old Shakopee Rd
Bloomington, MN 55438-2654
Mailing address
1445 Jessamine Ave W Apt 311
Saint Paul, MN 55108-2644
Phone (507) 990-0921
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600560000000",
"number": "1558977041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 JESSAMINE AVE W APT 311",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551082644",
"telephone_number": "507-990-0921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 W OLD SHAKOPEE RD",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554382654",
"telephone_number": "507-322-7752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONKRIGHT",
"first_name": "LAURA",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-20",
"last_updated": "2020-09-20",
"certification_date": "2020-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.