Individual provider Active NPI

Jennifer Loveland, FNP

  • Family Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1700954732
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R21091 Issued in ND
Practice address
2104 Northdale Blvd NW
Suite 220
Minneapolis, MN 55433-3028
Phone
(763) 537-6000
Fax
(763) 767-7180
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R21091 ND Primary

Addresses

Primary practice location

2104 Northdale Blvd NW
Suite 220
Minneapolis, MN 55433-3028

Mailing address

2104 Northdale Blvd NW
Suite 220
Minneapolis, MN 55433-3028
Phone (763) 537-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241122001997 MN Order and Referring Only - Nurse Practitioner 6709043805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R21091NDMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1700954732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 NORTHDALE BLVD NW",
            "address_2": "SUITE 220",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554333028",
            "telephone_number": "763-537-6000",
            "fax_number": "763-767-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 NORTHDALE BLVD NW",
            "address_2": "SUITE 220",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554333028",
            "telephone_number": "763-537-6000",
            "fax_number": "763-767-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELAND",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R21091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.