Active NPI
Successful Connections, LLC
- Nurse Practitioner
- Columbia Heights, MN
National Provider Identifier
1821552647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- SUCCESSFUL CONNECTIONS, LLC
- Practice address
- 4201 3Rd St NE Apt 6
Columbia Heights, MN 55421-2742 - Phone
- (612) 730-3945
- NPI assigned
- Jan 25, 2019
- Organization subpart
- Yes
- Parent organization
- HEALTH EMPOWERMENT INSTITUTE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pandora White, CNP
- Title
- Nurse Practitioner
- Phone
- (612) 272-8009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
4201 3Rd St NE Apt 6
Columbia Heights, MN 55421-2742
Mailing address
4201 3Rd St NE Apt 6
Columbia Heights, MN 55421-2742
Phone (612) 730-3945
Other names 1
- Successful Connections Health and Wellness Institute
National Provider Directory
National Provider Directory- Part of
- Health Empowerment Institute
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Women's Health Nurse Practitioner
- Minneapolis, MN
- NPI 1831328756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548633600000",
"number": "1821552647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 3RD ST NE APT 6",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554212742",
"telephone_number": "612-730-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 3RD ST NE APT 6",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554212742",
"telephone_number": "612-730-3945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUCCESSFUL CONNECTIONS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEALTH EMPOWERMENT INSTITUTE INC",
"enumeration_date": "2019-01-25",
"last_updated": "2019-01-28",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "PANDORA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "612-272-8009",
"authorized_official_credential": "CNP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Successful Connections Health and Wellness Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbia Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.