NPIMap

Organization Active NPI

Minneapolis Vamc

  • VA Clinic/Center
  • Shakopee, MN
National Provider Identifier
1932529351
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
MINNEAPOLIS VAMC
Practice address
1555 Lusitano St
Shakopee, MN 55379-9998
Phone
(913) 578-4409
NPI assigned
Apr 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Authorized official

Name
Erin Potter
Title
Npi Team Member
Phone
(202) 382-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X Primary

Addresses

Primary practice location

1555 Lusitano St
Shakopee, MN 55379-9998

Mailing address

PO Box 94459
Cleveland, OH 44101-4459
Phone (913) 578-4409

Other names 1

  • SHAKOPEE VA CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Minneapolis Vamc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

1111 Shakopee Town Sq
Shakopee, MN 55379

1555 Lusitano St
Shakopee, MN 55379
Phone (612) 629-7109

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1932529351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94459",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014459",
            "telephone_number": "913-578-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 LUSITANO ST",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553799998",
            "telephone_number": "913-578-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNEAPOLIS VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2021-05-07",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "NPI TEAM MEMBER",
        "authorized_official_telephone_number": "202-382-2579"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHAKOPEE VA CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SHAKOPEE VA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shakopee, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.