Mary Watzka Lagaard, RN, CNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

R093850-9 Issued in MN

Practice address

9701 Data Park
Mn006-W600
Minnetonka, MN 55343-9026

Phone

(800) 896-8936

Fax

(888) 866-3209

NPI assigned

Jul 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Allina Health System

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD (past)
• Evercare Collaborative Solutions Inc

  • Registered Nurse
  • Minnetonka, MN
  • NPI 1285686378
  NPD (past)
• United Healthcare Services, Inc

  • Nurse Practitioner
  • Minnetonka, MN
  • NPI 1073637468
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246752000000",
    "number": "1992734826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 313TH LN NE",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550086869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 DATA PARK",
            "address_2": "MN006-W600",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439026",
            "telephone_number": "800-896-8936",
            "fax_number": "888-866-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGAARD",
        "first_name": "MARY",
        "middle_name": "WATZKA",
        "credential": "RN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2009-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "R093850-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily J Laconic, MSW, LICSW
• Jacob A. Lacoursiere, LMFT
• Laurel B Laden, MD
• Erika Ladwig, LPCC
• Antoinette Denise Lafrance, FNP-C
• Lake Minnetonka Mobile Wellness, PA
• Lake Minnetonka Orthdontics
• Lakeshore Pediatric Therapy, Inc.
• Lakeside Health Solutions
• Lakeside Health Solutions

• Gerontology Nurse Practitioner in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Gerontology Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.