Donna Gotzian, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

R1454202 Issued in MN

Practice address

18874 243Rd Ave NW
Big Lake, MN 55309-8208

Phone

(763) 263-6440

Fax

(763) 263-6440

NPI assigned

Mar 6, 2018

Last updated

Mar 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1053813956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18874 243RD AVE NW",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553098208",
            "telephone_number": "763-263-6440",
            "fax_number": "763-263-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18874 243RD AVE NW",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553098208",
            "telephone_number": "763-263-6440",
            "fax_number": "763-263-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTZIAN",
        "first_name": "DONNA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "R1454202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Prospective Resources, Inc
• Foundational Evolutions LLC
• Fresenius Medical Care Centracare Dialysis, LLC (Fresenius Kidney Care Big Lake)
• Tricia Gallup, PT
• Amy Ann Glanz
• Rachel Suzanne Gupta, R.N., B.S.N
• Susan Harren
• Joanne Marie Harste, M.A., LMFT
• Terese Haus, PHARMD
• Heartland Counseling and Wellness PLLC

• Home Health Registered Nurse in Big Lake, MN
• Providers in Big Lake, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.