Organization Active NPI

Sexability LLC

  • Health Service Clinic/Center
  • Maple Grove, MN
National Provider Identifier
1679989065
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
R11529-5 Issued in MN
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

Updated by the provider on Jul 7, 2014

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.