TRISTA LEE-IREY HENRICKSON
NPI 1427355783
Licensed Practical Nurse in Roseville, MN

Active since February 23, 2011
2800 CLEVELAND AVE N, ROSEVILLE, MN 55113(651) 642-1825 Get Directions Write a Review

NPPES record last updated: February 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trista Lee-irey Henrickson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRISTA LEE-IREY HENRICKSON (NPI 1427355783) is an individual licensed practical nurse in Roseville, Minnesota, licensed in Minnesota (L621887) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1427355783
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTRISTA LEE-IREY HENRICKSON
Location Address2800 CLEVELAND AVE NRoseville, MN 55113-1126
Mailing Address2800 Cleveland Ave NRoseville, MN 55113-1126 · (651) 642-1825
Sole ProprietorYes
Enumeration DateFebruary 23, 2011
NPI 1427355783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MN · L621887
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2800 CLEVELAND AVE N, Roseville, MN 55113

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Home Health)
2800 CLEVELAND AVE N
ROSEVILLE, MN 55113
Registered Nurse
2800 CLEVELAND AVE N
ROSEVILLE, MN 55113
Registered Nurse
2800 CLEVELAND AVE N
ROSEVILLE, MN 55113
Registered Nurse (Home Health)
2800 CLEVELAND AVE N
ROSEVILLE, MN 55113
Licensed Practical Nurse
2800 CLEVELAND AVE N
ROSEVILLE, MN 55113
Registered Nurse
2800 CLEVELAND AVE N
ROSEVILLE, MN 55113
Registered Nurse
2800 CLEVELAND AVE N
SAINT PAUL, MN 55113
Registered Nurse
2800 CLEVELAND AVE N
ROSEVILLE, MN 55113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trista Henrickson's NPI number?

The NPI number for Trista Henrickson is 1427355783. It was assigned to this individual provider in the NPPES registry on February 23, 2011.

Where is Trista Henrickson located?

Trista Henrickson practices at 2800 Cleveland Ave N, Roseville, MN 55113. The listed phone number is (651) 642-1825.

What is Trista Henrickson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Trista Henrickson was last updated on February 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.