Active NPI
Yuto Maeda
- Student in an Organized Health Care Education/Training Program
- Mankato, MN
National Provider Identifier
1578029740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Minnesota State University, Mankato
228 Wiecking Center
Mankato, MN 56001 - Phone
- (507) 389-2092
- NPI assigned
- Feb 13, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Minnesota State University, Mankato
228 Wiecking Center
Mankato, MN 56001
Mailing address
1801 Monks Ave, Apt 422
Mankato, MN 56001
Phone (507) 469-1560
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": "1550016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1578029740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 MONKS AVE, APT 422",
"city": "MANKATO",
"state": "MN",
"postal_code": "56001",
"telephone_number": "507-469-1560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MINNESOTA STATE UNIVERSITY, MANKATO",
"address_2": "228 WIECKING CENTER",
"city": "MANKATO",
"state": "MN",
"postal_code": "56001",
"telephone_number": "507-389-2092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAEDA",
"first_name": "YUTO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-13",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.