Active NPI
Sarah Louise Isakson, GNP
- Gerontology Nurse Practitioner
- Minneapolis, MN
National Provider Identifier
1730128505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- R113615-1
- Practice address
- Mail Route 11414
800 E. 28TH Street
Minneapolis, MN 55407-3799 - Phone
- (612) 863-3110
- Fax
- (612) 863-3158
- NPI assigned
- Jun 6, 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R113615-1 | MN | Primary |
Addresses
Primary practice location
Mail Route 11414
800 E. 28TH Street
Minneapolis, MN 55407-3799
Mailing address
3421 Roosevelt Street NE
St Anthony, MN 55418-1543
Phone (612) 590-0411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 339797100 | Medicaid | MN |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R113615-1 | MN | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368662400000",
"number": "1730128505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 ROOSEVELT STREET NE",
"city": "ST ANTHONY",
"state": "MN",
"postal_code": "554181543",
"telephone_number": "612-590-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MAIL ROUTE 11414",
"address_2": "800 E. 28TH STREET",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073799",
"telephone_number": "612-863-3110",
"fax_number": "612-863-3158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAKSON",
"first_name": "SARAH",
"middle_name": "LOUISE",
"credential": "GNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2013-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MN",
"license": "R113615-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "339797100",
"state": "MN"
}
],
"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 May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.