Susan Carol Nokleby, RN, MS, LSN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

R 075546-5 Issued in MN

Practice address

3300 Gillett Dr NW
Bemidji, MN 56601-5668

Phone

(218) 333-3100

Fax

(218) 333-3175

NPI assigned

Jan 19, 2007

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

Master of Science, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Independent School District #31

  • Local Education Agency (LEA)
  • Bemidji, MN
  • NPI 1346390549
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063565281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 DONALD AVE SE",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014904",
            "telephone_number": "218-751-3353",
            "fax_number": "218-333-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GILLETT DR NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015668",
            "telephone_number": "218-333-3100",
            "fax_number": "218-333-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOKLEBY",
        "first_name": "SUSAN",
        "middle_name": "CAROL",
        "credential": "RN, MS, LSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MN",
            "license": "R 075546-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolle R Nichols
• Natalie M. Nicholson, NP
• Matthew John Nielsen, M.D.
• Paul Daniel Nistler, BS
• No 1 Ladies Advocacy Agency (Advocates of the Bemidji Area)
• Marty L. Nolte, R.D.
• Margaret Nordquist, CHW CERTIFICATE
• North Country Dental Service
• North Country Health Services (North Country Regional Hospital)
• North Country Health Services (North Country Regional Hospital)

• School Registered Nurse in Bemidji, MN
• Providers in Bemidji, MN by specialty
• School Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.