Individual provider Active NPI

Carol E Sangren, LPN

  • Licensed Practical Nurse
  • Litchfield, MN
National Provider Identifier
1831427780
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L010366-4 Issued in MN
Practice address
114 N Holcombe Ave
Suite 250
Litchfield, MN 55355-2210
Phone
(320) 693-5370
Fax
(320) 693-5399
NPI assigned
Dec 3, 2009
Last updated
Dec 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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 L010366-4 MN Primary

Addresses

Primary practice location

114 N Holcombe Ave
Suite 250
Litchfield, MN 55355-2210

Mailing address

114 N Holcombe Ave
Suite 250
Litchfield, MN 55355-2210
Phone (320) 693-5370

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
L010366-4MNMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
County of Meeker PastSince Mar 22, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1831427780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N HOLCOMBE AVE",
            "address_2": "SUITE 250",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553552210",
            "telephone_number": "320-693-5370",
            "fax_number": "320-693-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N HOLCOMBE AVE",
            "address_2": "SUITE 250",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553552210",
            "telephone_number": "320-693-5370",
            "fax_number": "320-693-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGREN",
        "first_name": "CAROL",
        "middle_name": "E",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L010366-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.