Individual provider Active NPI

Levenda Owanga

  • Licensed Practical Nurse
  • Elko New Market, MN
National Provider Identifier
1831049709
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
822869 Issued in MN
Practice address
26826 Oakridge Way
Elko New Market, MN 55020-8528
Phone
(763) 215-9088
NPI assigned
Jan 30, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 822869 MN Primary

Addresses

Primary practice location

26826 Oakridge Way
Elko New Market, MN 55020-8528

Mailing address

26826 Oakridge Way
Elko New Market, MN 55020-8528
Phone (763) 215-9088

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

LicenseStateTypeSpecialty
822869MNMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1831049709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26826 OAKRIDGE WAY",
            "city": "ELKO NEW MARKET",
            "state": "MN",
            "postal_code": "550208528",
            "telephone_number": "763-215-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26826 OAKRIDGE WAY",
            "city": "ELKO NEW MARKET",
            "state": "MN",
            "postal_code": "550208528",
            "telephone_number": "763-215-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWANGA",
        "first_name": "LEVENDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "822869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko New Market, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.