NPIMap

Organization Active NPI

Lakes Advanced Pain Specialists PLLC

  • Certified Registered Nurse Anesthetist
  • Stillwater, MN
National Provider Identifier
1730342601
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R 135016-0 Issued in MN
Legal business name
LAKES ADVANCED PAIN SPECIALISTS PLLC
Practice address
10513 Stonebridge TRL N
Stillwater, MN 55082-9569
Phone
(612) 382-4613
NPI assigned
Jul 9, 2008
Last updated
Dec 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Mr. Brent Thomas Kapfer, CRNANPI 1467418368
Title
Crna
Phone
(612) 382-4613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R 135016-0 MN Primary

Addresses

Primary practice location

10513 Stonebridge TRL N
Stillwater, MN 55082-9569

Mailing address

10513 Stonebridge TRL N
Stillwater, MN 55082-9569
Phone (612) 382-4613

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1730342601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10513 STONEBRIDGE TRL N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550829569",
            "telephone_number": "612-382-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10513 STONEBRIDGE TRL N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550829569",
            "telephone_number": "612-382-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES ADVANCED PAIN SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "KAPFER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "612-382-4613",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R 135016-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.