Active NPI
Julie Anne Sibert
- Registered Nurse
- Wadena, MN
National Provider Identifier
1003457649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R135747-7
- Practice address
- 22 Dayton Ave SE
Wadena, MN 56482-1526 - Phone
- (218) 632-8485
- Fax
- (218) 260-2727
- NPI assigned
- Oct 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R135747-7 | MN | Primary |
Addresses
Primary practice location
22 Dayton Ave SE
Wadena, MN 56482-1526
Mailing address
22 Dayton Ave SE
Wadena, MN 56482-1526
Phone (218) 632-8485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R135747-7 | MN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Wadena | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Public Health or Welfare Agency
- Wadena, MN
- NPI 1679576912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1003457649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 DAYTON AVE SE",
"city": "WADENA",
"state": "MN",
"postal_code": "564821526",
"telephone_number": "218-632-8485",
"fax_number": "218-260-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 DAYTON AVE SE",
"city": "WADENA",
"state": "MN",
"postal_code": "564821526",
"telephone_number": "218-632-8485",
"fax_number": "218-260-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIBERT",
"first_name": "JULIE",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-04",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R135747-7",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wadena, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.