Gina M Nygren, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

23569-031 Issued in WI

Practice address

2118 125TH Ave
Saint Croix Falls, WI 54024-8311

Phone

(414) 704-3446

NPI assigned

Mar 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288483200000",
    "number": "1811956402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 125TH AVE",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540248311",
            "telephone_number": "414-704-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 125TH AVE",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540248311",
            "telephone_number": "414-704-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYGREN",
        "first_name": "GINA",
        "middle_name": "M",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2010-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "23569-031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38260400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Nordin, M.D.
• McKenzy Norgard, PA-C
• Amanda Novak
• Claudio F. Nunes, M.D.
• Wendy Ann Nunes, M.D.
• Alison M Oen, PHARMD
• Shaun Terrance Okeefe, PAC, MPAS
• Joshua J Olinger, PTA
• Orchin Smiles SCF SC
• Danielle R Panik, PA-C

• Licensed Practical Nurse in Saint Croix Falls, WI
• Providers in Saint Croix Falls, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2010; 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.