Active NPI
Carrie Sura
- Emergency Registered Nurse
- Sandstone, MN
National Provider Identifier
1093283020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- 1328914
- Practice address
- 707 Lundorff Dr Ste 2
Sandstone, MN 55072-5099 - Phone
- (320) 245-5500
- NPI assigned
- Nov 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 1328914 | MN | Primary |
Addresses
Primary practice location
707 Lundorff Dr Ste 2
Sandstone, MN 55072-5099
Mailing address
707 Lundorff Dr Ste 2
Sandstone, MN 55072-5099
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1328914 | MN | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Drug Stores Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Thrifty White Pharmacy #772
- Community/Retail Pharmacy
- Sandstone, MN
- NPI 1316194459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1093283020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 LUNDORFF DR STE 2",
"city": "SANDSTONE",
"state": "MN",
"postal_code": "550725099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 LUNDORFF DR STE 2",
"city": "SANDSTONE",
"state": "MN",
"postal_code": "550725099",
"telephone_number": "320-245-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURA",
"first_name": "CARRIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-07",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "MN",
"license": "1328914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandstone, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.