Active NPI
Annette Friedheim, N.P.
- Nurse Practitioner
- Minneapolis, MN
National Provider Identifier
1760411888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R 133241-8
- Practice address
- 516 Delaware St SE
Univ.of MN Physicians, PWB Fifth Floor, Clinic 5B
Minneapolis, MN 55455-0356 - Phone
- (612) 626-2663
- NPI assigned
- Jul 1, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R 133241-8 | MN | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | R 133241-8 | MN |
Addresses
Primary practice location
516 Delaware St SE
Univ.of MN Physicians, PWB Fifth Floor, Clinic 5B
Minneapolis, MN 55455-0356
Mailing address
1575 Beam Ave
Saint Paul, MN 55109-1126
Phone (651) 232-7970
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115291 | Other | MN | UCARE |
| 768118 | Other | MN | ARAZ |
| 04-13144 | Other | MN | MEDICA CHOICE & PRIMARY |
| HP28940 | Other | MN | HEALTHPARTNERS |
| 29T32FR | Other | MN | BCBS |
| 1015990 | Other | MN | PREFERRED ONE |
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 |
|---|---|---|---|
| R 133241-8 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Minnesota Physicians | 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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187222400000",
"number": "1760411888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 BEAM AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551091126",
"telephone_number": "651-232-7970",
"fax_number": "651-232-5720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 DELAWARE ST SE",
"address_2": "UNIV.OF MN PHYSICIANS, PWB FIFTH FLOOR, CLINIC 5B",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550356",
"telephone_number": "612-626-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDHEIM",
"first_name": "ANNETTE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-01",
"last_updated": "2007-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R 133241-8",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MN",
"license": "R 133241-8",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "115291",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "768118",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CHOICE & PRIMARY",
"identifier": "04-13144",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP28940",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "29T32FR",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1015990",
"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 Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.