Active NPI
Leda Estrella Forseen, LPN
- Licensed Practical Nurse
- Colfax, WI
National Provider Identifier
1568420271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 301832-31
- Practice address
- N9562 County Road G
Colfax, WI 54730-4633 - Phone
- (612) 605-8345
- NPI assigned
- May 2, 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 301832-31 | WI | Primary |
Addresses
Primary practice location
N9562 County Road G
Colfax, WI 54730-4633
Mailing address
1315 7TH Street E.
Menomonie, WI 54751
Phone (952) 567-1777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38315000 | Medicaid | WI |
Other names 1
- Ms. Lynda Susan Johnson
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301832-31 | WI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432166400000",
"number": "1568420271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 7TH STREET E.",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "54751",
"telephone_number": "952-567-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N9562 COUNTY ROAD G",
"city": "COLFAX",
"state": "WI",
"postal_code": "547304633",
"telephone_number": "612-605-8345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSEEN",
"first_name": "LEDA",
"middle_name": "ESTRELLA",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2015-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WI",
"license": "301832-31",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38315000",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LYNDA",
"last_name": "JOHNSON",
"middle_name": "SUSAN",
"prefix": "MS.",
"credential": "LPN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Colfax, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.