NPI |
1881006526 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Entity Type Code |
1 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Provider Last Name Legal Name |
GUY |
The last name of the provider. If the provider is an individual, this is the legal name. |
Provider First Name |
CHRISTINE |
Other name by which the organization provider is or has been known. |
Provider Credential Text |
M.A. |
The abbreviations for professional degrees or credentials used or held by the provider,
if the provider is an individual. Examples
are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations
will not be verified by NPS. |
Provider First Line Business Practice Location Address |
1301 7TH ST E |
The abbreviations for professional degrees or credentials used or held by the provider,
if the provider is an individual. Examples
are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations
will not be verified by NPS. |
Provider Business Practice Location Address City Name |
SAINT PAUL |
The city name in the location address of the provider being identified. |
Provider Business Practice Location Address State Name |
MN |
The city name in the location address of the provider being identified. |
Provider Business Practice Location Address Postal Code |
551064039 |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The country code in the location address of the provider being identified. |
Provider Business Practice Location Address Telephone Number |
6513325500 |
The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number |
6513325738 |
The fax number associated with the location
address of the provider being identified. |
Provider Enumeration Date |
5/29/2014 |
The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date |
5/29/2014 |
The date that a record was last updated or changed. |
Provider Gender Code |
F |
The code designating the provider’s gender if the provider is a person. |
Healthcare Provider Taxonomy Code 1 |
101YM0800X |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
|
Is Sole Proprietor |
N |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |