Active NPI
Nikki Tennille Love-Braithwaite, APRN
- Gerontology Nurse Practitioner
- Saint Paul, MN
National Provider Identifier
1770441669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 13872
- Practice address
- PO Box 17370
6420
Saint Paul, MN 55117-0370 - Phone
- (612) 987-4301
- NPI assigned
- Jan 12, 2026
- 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 | 13872 | MN | Primary |
Addresses
Primary practice location
PO Box 17370
6420
Saint Paul, MN 55117-0370
Mailing address
PO Box 17370
6420
Saint Paul, MN 55117-0370
Phone (612) 987-4301
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13872 | MN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1770441669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17370",
"address_2": "6420",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551170370",
"telephone_number": "612-987-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 17370",
"address_2": "6420",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551170370",
"telephone_number": "612-987-4301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE-BRAITHWAITE",
"first_name": "NIKKI",
"middle_name": "TENNILLE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-12",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MN",
"license": "13872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.