Michael Lee Syltie, LNHA

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

3954 Issued in MN

Practice address

3306 Rolling Hills Dr
Eagan, MN 55121-2345

Phone

(507) 828-3869

NPI assigned

Jul 9, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lakeland Staffing Solutions, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Eagan, MN
  • NPI 1871089284

  Single Specialty

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1689160095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21884",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551210884",
            "telephone_number": "507-828-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 ROLLING HILLS DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212345",
            "telephone_number": "507-828-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLTIE",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "credential": "LNHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nursing Home Administrator",
            "state": "MN",
            "license": "3954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica D Suvid, LMT
• Peter Swann, M.D.
• Dana Swanson, M.S.
• Jennie Swanson, OT
• Meagen Sweeney, MA, LPCC
• Natalie Elizabeth Syrbu, D.D.S.
• Maria Taft
• Daria Rose Tahmooressi
• Bethany Rose Talatala
• Loren Jeffrey Taple, DDS

• Nursing Home Administrator in Eagan, MN
• Providers in Eagan, MN by specialty
• Nursing Home Administrator in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.