Active NPI
Wendy Sue Looman, PHD, RN, CPNP
- Pediatric Nurse Practitioner
- Minneapolis, MN
National Provider Identifier
1861676488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 163895-0
- Practice address
- 515 Delaware St SE
6-296 Moos Tower
Minneapolis, MN 55455-0357 - Phone
- (612) 625-5945
- NPI assigned
- Dec 18, 2007
- Last updated
- Dec 18, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 163895-0 | MN | Primary |
Addresses
Primary practice location
515 Delaware St SE
6-296 Moos Tower
Minneapolis, MN 55455-0357
Mailing address
308 Harvard St SE
5-140 Weaver-Densford Hall
Minneapolis, MN 55455-0353
Phone (612) 624-6604
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
- Credentials
- Certified Pediatric Nurse Practitioner, Doctor of Philosophy, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163895-0 | MN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Minnesota | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cleft Palate Craniofacial Anomalies Clinics
- Clinic/Center
- Minneapolis, MN
- NPI 1962520577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1861676488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 HARVARD ST SE",
"address_2": "5-140 WEAVER-DENSFORD HALL",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550353",
"telephone_number": "612-624-6604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 DELAWARE ST SE",
"address_2": "6-296 MOOS TOWER",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550357",
"telephone_number": "612-625-5945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOMAN",
"first_name": "WENDY",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "PHD, RN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-18",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MN",
"license": "163895-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.