Platinum Cosmetics

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

PLATINUM COSMETICS

Practice address

111 1St St NE Ste a
Little Falls, MN 56345-2601

Phone

(320) 639-1230

NPI assigned

Jun 1, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Michelle Mattison, NURSE PRACTITIONERNPI 1164874947

Title

Owner

Phone

(320) 431-1212

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Mattison, CNP

  • Family Nurse Practitioner
  • Saint Cloud, MN
  • NPI 1164874947
  NPD Authorized official

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1063151736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 1ST ST NE STE A",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563452601",
            "telephone_number": "320-639-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 1ST ST NE STE A",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563452601",
            "telephone_number": "320-639-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM COSMETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "MATTISON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-431-1212",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Larayne Oothoudt, STS PROVIDER
• Linda Jean Pantzke, LMFT
• Paradox Chiropractic PA
• Saung Z Park, MD
• Phenom Rehab, Inc
• Amanda E. Plevell
• Sarah Pollock
• Craig Pooler, R.P.A.-C.
• Port of Crow Wing County, Inc
• Preferred Chiropractic, Inc

• Nurse Practitioner in Little Falls, MN
• Providers in Little Falls, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.