Active NPI
Jiraporn Erickson
- Community Health Worker
- Burnsville, MN
National Provider Identifier
1649061276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 1128120
- Practice address
- 2013 Great Oaks Dr
Burnsville, MN 55337-8525 - Phone
- (612) 214-1566
- NPI assigned
- May 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 1128120 | MN | Primary |
Addresses
Primary practice location
2013 Great Oaks Dr
Burnsville, MN 55337-8525
Mailing address
2013 Great Oaks Dr
Burnsville, MN 55337-8525
Phone (612) 214-1566
Other names 1
- Mrs. Opal Erickson
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 |
|---|---|---|---|
| 1128120 | MN | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1649061276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2013 GREAT OAKS DR",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553378525",
"telephone_number": "612-214-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2013 GREAT OAKS DR",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553378525",
"telephone_number": "612-214-1566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "JIRAPORN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-14",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MN",
"license": "1128120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OPAL",
"last_name": "ERICKSON",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.