Active NPI
Laura Anne Patrick, RN, BSN, MSN, FNP-BC
- Family Nurse Practitioner
- Minneapolis, MN
National Provider Identifier
1720022312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024067332
- Practice address
- 920 2ND Ave S
Suite 400
Minneapolis, MN 55402-3318 - Phone
- (612) 225-1512
- NPI assigned
- Jun 15, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024067332 | VA | Primary |
Addresses
Primary practice location
920 2ND Ave S
Suite 400
Minneapolis, MN 55402-3318
Mailing address
4808 Fox Chapel Rd
Fairfax, VA 22030-4509
Phone (703) 352-7551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77-8902-7 | Medicaid | VA |
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
- Credentials
- Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1720022312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4808 FOX CHAPEL RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220304509",
"telephone_number": "703-352-7551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 2ND AVE S",
"address_2": "SUITE 400",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554023318",
"telephone_number": "612-225-1512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "LAURA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "RN, BSN, MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024067332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77-8902-7",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.