Active NPI
Anna M Lea, RN
- Registered Nurse
- Duluth, MN
National Provider Identifier
1578222048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 180489-4
- Practice address
- 925 Kenwood Ave
C/O Westwood Assisted Living
Duluth, MN 55811 - Phone
- (218) 279-7650
- Fax
- (218) 529-5746
- NPI assigned
- Dec 13, 2021
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 180489-4 | MN | Primary |
Addresses
Primary practice location
925 Kenwood Ave
C/O Westwood Assisted Living
Duluth, MN 55811
Mailing address
925 Kenwood Ave
C/O Westwood Assisted Living
Duluth, MN 55811
Phone (218) 279-7650
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180489-4 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1578222048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 KENWOOD AVE",
"address_2": "C/O WESTWOOD ASSISTED LIVING",
"city": "DULUTH",
"state": "MN",
"postal_code": "55811",
"telephone_number": "218-279-7650",
"fax_number": "218-529-5746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 KENWOOD AVE",
"address_2": "C/O WESTWOOD ASSISTED LIVING",
"city": "DULUTH",
"state": "MN",
"postal_code": "55811",
"telephone_number": "218-279-7650",
"fax_number": "218-529-5746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEA",
"first_name": "ANNA",
"middle_name": "M",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-13",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "180489-4",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.