Active NPI
Darlene Patterson
- Homemaker
- Forest Lake, MN
National Provider Identifier
1740500073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 8503 178TH LN NE
Forest Lake, MN 55025-8351 - Phone
- (651) 464-6167
- NPI assigned
- Jun 9, 2010
- Last updated
- Jun 9, 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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | NU | Primary |
Addresses
Primary practice location
8503 178TH LN NE
Forest Lake, MN 55025-8351
Mailing address
PO Box 34
Chisago City, MN 55013-0034
Phone (612) 749-4176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84Z92LI | Other | MN | BLUECROSS BLUESHIELD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Senior Care Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Zimmerman, MN
- NPI 1073796322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276041600000",
"number": "1740500073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34",
"city": "CHISAGO CITY",
"state": "MN",
"postal_code": "550130034",
"telephone_number": "612-749-4176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8503 178TH LN NE",
"city": "FOREST LAKE",
"state": "MN",
"postal_code": "550258351",
"telephone_number": "651-464-6167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "DARLENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-09",
"last_updated": "2010-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "84Z92LI",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Forest Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.