Active NPI
Lauren Pederson
- Inpatient Obstetric Registered Nurse
- Dayton, MN
National Provider Identifier
1801565585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Inpatient Obstetric Registered Nurse
- License
- 2477706
- Practice address
- 13451 White Pine CT N
Dayton, MN 55327-2402 - Phone
- (715) 781-9998
- NPI assigned
- Sep 7, 2021
- Last updated
- Sep 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Inpatient Obstetric Registered Nurse | 163WX0003X | 2477706 | MN | Primary |
Addresses
Primary practice location
13451 White Pine CT N
Dayton, MN 55327-2402
Mailing address
13451 White Pine CT N
Dayton, MN 55327-2402
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 |
|---|---|---|---|
| 2477706 | MN | MD | Inpatient Obstetric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1801565585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13451 WHITE PINE CT N",
"city": "DAYTON",
"state": "MN",
"postal_code": "553272402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13451 WHITE PINE CT N",
"city": "DAYTON",
"state": "MN",
"postal_code": "553272402",
"telephone_number": "715-781-9998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDERSON",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-07",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Obstetric, Inpatient",
"state": "MN",
"license": "2477706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.