Organization Active NPI

Successful Connections, LLC

  • Nurse Practitioner
  • Columbia Heights, MN
National Provider Identifier
1821552647
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

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.

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.

Verify at the official NPI Registry.