Active NPI
Vinetta Renee Gladney, LPN
- Licensed Practical Nurse
- Brooklyn Park, MN
National Provider Identifier
1710298518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- L064236-1
- Practice address
- 8348 Idaho Ave N
Brooklyn Park, MN 55445-2236 - Phone
- (612) 743-0458
- NPI assigned
- Jun 25, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L064236-1 | MN | Primary |
Addresses
Primary practice location
8348 Idaho Ave N
Brooklyn Park, MN 55445-2236
Mailing address
8348 Idaho Ave N
Brooklyn Park, MN 55445-2236
Phone (612) 743-0458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L064236-1 | Other | MN | BOARD OF NURSING LICENSE |
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 |
|---|---|---|---|
| L064236-1 | MN | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1710298518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8348 IDAHO AVE N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554452236",
"telephone_number": "612-743-0458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8348 IDAHO AVE N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554452236",
"telephone_number": "612-743-0458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADNEY",
"first_name": "VINETTA",
"middle_name": "RENEE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-25",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MN",
"license": "L064236-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF NURSING LICENSE",
"identifier": "L064236-1",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.