Active NPI
Angela Narr, COTA/L
- Occupational Therapy Assistant
- Saint Michael, MN
National Provider Identifier
1902375850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 202114
- Practice address
- 4400 Lange Ave NE
Saint Michael, MN 55376-9556 - Phone
- (763) 777-9445
- NPI assigned
- Nov 21, 2018
- Last updated
- Nov 21, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 202114 | MN | Primary |
Addresses
Primary practice location
4400 Lange Ave NE
Saint Michael, MN 55376-9556
Mailing address
1635 Dunkirk LN N
Plymouth, MN 55447-2838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202114 | Other | MN | MINNESOTA DEPARTMENT OF HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 202114 | MN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542758400000",
"number": "1902375850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 DUNKIRK LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554472838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 LANGE AVE NE",
"city": "SAINT MICHAEL",
"state": "MN",
"postal_code": "553769556",
"telephone_number": "763-777-9445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARR",
"first_name": "ANGELA",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-21",
"last_updated": "2018-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MN",
"license": "202114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MINNESOTA DEPARTMENT OF HEALTH",
"identifier": "202114",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Michael, MN
- Minnesota Dental Professionals, P.C. (Town Center Dental Care)
- Caleb John Mol, LMFT
- Gabriella Eve Molitor
- My Nurses Care Health Services, LLC (MNCare Health Services, LLC)
- Jessica Namie, PHARM D
- Brandie Jean Ness, RD, LD
- Jodene Lynn Nestande, PT
- Elena Thuy Nguyen
- Denis Fonyia Nkem, PHARM D
- Northway Academy, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.