Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pediatric and Young Adult Medicine, PA

Primary Care Clinic/Center in Lake Elmo, MN · enumerated 2009 · authorized official Terri Joseph, Clinic Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457593550

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Pediatric and Young Adult Medicine, PA

Practice address 8650 Hudson Blvd N, Suite 125, Lake Elmo, MN, 55042

Phone (651) 256-6706

Fax (651) 256-6707

Enumeration date Apr 3, 2009

Last updated in NPPES Dec 7, 2016

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License 154 (MN) Primary

Authorized official

Name Terri Joseph

Title Clinic Administrator

Phone (651) 256-6706

Other identifiers

Identifier	Type	State	Issuer
1104806165	Medicaid	MN	-
1245210095	Medicaid	MN	-
1245210210	Medicaid	MN	-
1861558835	Medicaid	MN	-
1083694046	Medicaid	MN	-
1477870921	Medicaid	MN	-
1386991339	Medicaid	MN	-
1881057065	Medicaid	MN	-
1912987900	Medicaid	MN	-
1497735419	Medicaid	MN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Pediatric and Young Adult Medicine, PA?

Pediatric and Young Adult Medicine, PA is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-07.