Active NPI
Patricia Ann Lomnicki, RN, CNP
- Gerontology Nurse Practitioner
- Minnetonka, MN
National Provider Identifier
1861401747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- R114712-4
- Practice address
- 401 Carlson Pkwy
Minnetonka, MN 55305-5359 - Phone
- (952) 992-3581
- Fax
- (952) 992-3039
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R114712-4 | MN | Primary |
Addresses
Primary practice location
401 Carlson Pkwy
Minnetonka, MN 55305-5359
Mailing address
2190 St. Croix Ave
Roseville, MN 55113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6543162-00 | Medicaid | MN |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R114712-4 | MN | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evercare Collaborative Solutions Inc | Past | 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 and National Provider Directory roles.
-
- Registered Nurse
- Minnetonka, MN
- NPI 1285686378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1861401747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2190 ST. CROIX AVE",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "55113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 CARLSON PKWY",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553055359",
"telephone_number": "952-992-3581",
"fax_number": "952-992-3039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMNICKI",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "RN, CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MN",
"license": "R114712-4",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6543162-00",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.