Active NPI
Sasenarine Singh, GNP
- Gerontology Nurse Practitioner
- Saint Paul, MN
National Provider Identifier
1720016660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- R1117442
- Practice address
- 1690 University Ave W Ste 115
Saint Paul, MN 55104-3118 - Phone
- (651) 232-2002
- Fax
- (651) 232-2031
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R1117442 | MN | Primary |
Addresses
Primary practice location
1690 University Ave W Ste 115
Saint Paul, MN 55104-3118
Mailing address
832 Jasmine Ave N
Lake Elmo, MN 55042
Phone (651) 895-6193
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1117442 | MN | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Medical Research Institute | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1720016660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 JASMINE AVE N",
"city": "LAKE ELMO",
"state": "MN",
"postal_code": "55042",
"telephone_number": "651-895-6193",
"fax_number": "651-739-7192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 UNIVERSITY AVE W STE 115",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551043118",
"telephone_number": "651-232-2002",
"fax_number": "651-232-2031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGH",
"first_name": "SASENARINE",
"credential": "GNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MN",
"license": "R1117442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.