Laura Magnuson, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4116 Issued in MN

Practice address

15245 Bluebird St NW
Andover, MN 55304-3538

Phone

(763) 587-4688

Fax

(763) 587-4662

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Laura Karon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: laura.magnuson.1@27404.direct.athenahealth.com

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1750412235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MS 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15245 BLUEBIRD ST NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043538",
            "telephone_number": "763-587-4688",
            "fax_number": "763-587-4662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 County Road 42 W",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553374426",
            "country_code": "US",
            "telephone_number": "585-721-0097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 County Road 42 W",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553374426",
            "country_code": "US",
            "telephone_number": "585-721-0097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGNUSON",
        "first_name": "LAURA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "4116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KARON",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Reena Patel Lorntson, WHNP
• Lisa Michelle Luke, OTR/L
• Paul J Lysne, MD
• Maija Joe Maaninga
• Jessica Magnuson, LMFT
• Bailey Maly
• Morgan Earl Mann, M.D.
• Sherry M Marinello, PA
• Phillip Martin, M.A
• Nancy Mathis, MS/CCC-SLP

• Nurse Practitioner in Andover, MN
• Providers in Andover, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.