Active NPI
Sexability LLC
- Health Service Clinic/Center
- Maple Grove, MN
National Provider Identifier
1679989065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- R11529-5
- Legal business name
- SEXABILITY LLC
- Practice address
- 11670 Fountains Dr
200
Maple Grove, MN 55369-7195 - Phone
- (763) 229-8508
- NPI assigned
- Jul 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jane Elizabeth Parker, CNP
- Title
- Owner
- Phone
- (763) 229-8508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | R11529-5 | MN | Primary |
Addresses
Primary practice location
11670 Fountains Dr
200
Maple Grove, MN 55369-7195
Mailing address
1121 W River St
Monticello, MN 55362-8952
Phone (763) 229-8508
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404691200000",
"number": "1679989065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 W RIVER ST",
"city": "MONTICELLO",
"state": "MN",
"postal_code": "553628952",
"telephone_number": "763-229-8508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11670 FOUNTAINS DR",
"address_2": "200",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553697195",
"telephone_number": "763-229-8508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEXABILITY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-07",
"last_updated": "2014-07-07",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "JANE",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "763-229-8508",
"authorized_official_credential": "CNP"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "MN",
"license": "R11529-5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.