Erin Michelle Shusta

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Practice address

8722 47TH St SW
Howard Lake, MN 55349-5203

Phone

(763) 760-9750

NPI assigned

Apr 25, 2019

Last updated

Apr 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1053975045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8722 47TH ST SW",
            "city": "HOWARD LAKE",
            "state": "MN",
            "postal_code": "553495203",
            "telephone_number": "763-760-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8722 47TH ST SW",
            "city": "HOWARD LAKE",
            "state": "MN",
            "postal_code": "553495203",
            "telephone_number": "763-760-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSTA",
        "first_name": "ERIN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Radintz, MS, CCC-SLP
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• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Howard Lake)

• Customized Equipment (DME) in Howard Lake, MN
• Providers in Howard Lake, MN by specialty
• Customized Equipment (DME) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.

Verify at the official NPI Registry.