Individual provider Active NPI

Richard Leander Traut II, APRN, NP-C

  • Primary Care Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1881135283
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
CNP 5036 Issued in MN
Practice address
9300 Noble Pkwy N
Minneapolis, MN 55443-5500
Phone
(763) 236-5300
NPI assigned
Mar 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X CNP 5036 MN Primary

Addresses

Primary practice location

9300 Noble Pkwy N
Minneapolis, MN 55443-5500

Mailing address

9300 Noble Pkwy N
Minneapolis, MN 55443-5500
Phone (763) 236-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200528000290 MN Order and Referring Only - Nurse Practitioner 1052688447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP 5036MNMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1881135283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 NOBLE PKWY N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554435500",
            "telephone_number": "763-236-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 NOBLE PKWY N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554435500",
            "telephone_number": "763-236-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUT",
        "first_name": "RICHARD",
        "middle_name": "LEANDER",
        "name_suffix": "II",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "CNP 5036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.