Individual provider Active NPI

Rhonda Susan Ingebrigtsen, RN

  • Psychiatric/Mental Health Registered Nurse
  • Escanaba, MI
National Provider Identifier
1063854685
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
4704250541 Issued in MI
Practice address
429 S 10TH St
Escanaba, MI 49829-3328
Phone
(906) 233-1322
Fax
(906) 233-1220
NPI assigned
Jul 24, 2013
Last updated
Jul 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 4704250541 MI Primary

Addresses

Primary practice location

429 S 10TH St
Escanaba, MI 49829-3328

Mailing address

2820 College Ave
Escanaba, MI 49829-9591
Phone (906) 233-1322

Other names 1

  • Rhonda Susan Engel Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704250541MIMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways PastSince Oct 20, 2006 Accepting new patients
Pathways Community Mental Heatlh Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1063854685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 COLLEGE AVE",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498299591",
            "telephone_number": "906-233-1322",
            "fax_number": "906-233-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 S 10TH ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293328",
            "telephone_number": "906-233-1322",
            "fax_number": "906-233-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGEBRIGTSEN",
        "first_name": "RHONDA",
        "middle_name": "SUSAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704250541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHONDA",
            "last_name": "ENGEL",
            "middle_name": "SUSAN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Escanaba, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.