Individual provider Active NPI

Makenzie Pearl Landsberger, RN

  • Registered Nurse
  • Saint Cloud, MN
National Provider Identifier
1801680707
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2071480 Issued in MN
Practice address
929 45TH Ave NE
Saint Cloud, MN 56304-4666
Phone
(320) 493-0640
NPI assigned
Apr 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2071480 MN Primary

Addresses

Primary practice location

929 45TH Ave NE
Saint Cloud, MN 56304-4666

Mailing address

929 45TH Ave NE
Saint Cloud, MN 56304-4666
Phone (320) 493-0640

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2071480MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1801680707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 45TH AVE NE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563044666",
            "telephone_number": "320-493-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 45TH AVE NE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563044666",
            "telephone_number": "320-493-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDSBERGER",
        "first_name": "MAKENZIE",
        "middle_name": "PEARL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2071480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.